ALTACARE, LLC
NPI: 1154849610
· FLAGSTAFF, AZ 86001
· Urgent Care Clinic/Center
· NPI assigned 09/05/2017
$312K
Total Medicaid Paid
Provider Details
| Authorized Official | HO, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 09/05/2017 |
Related Entities
Other providers sharing the same authorized official: HO, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
118 |
$8K |
| 2019 |
396 |
$28K |
| 2020 |
386 |
$30K |
| 2021 |
1,092 |
$63K |
| 2022 |
924 |
$78K |
| 2023 |
607 |
$54K |
| 2024 |
525 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,943 |
1,882 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
1,086 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
509 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
423 |
400 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$808.59 |