Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DRX UC WATERTOWN PC

NPI: 1164772299 · WATERTOWN, MA 02472 · Urgent Care Clinic/Center · NPI assigned 09/17/2012

$145K
Total Medicaid Paid
2,685
Total Claims
2,623
Beneficiaries
11
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJALISI, SCHARUKH (DIRECTOR)
NPI Enumeration Date09/17/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 146 $9K
2021 1,494 $69K
2022 537 $27K
2023 299 $21K
2024 209 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,077 1,056 $79K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 335 322 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 181 178 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 116 111 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 172 165 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 303 296 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 50 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 103 101 $825.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 58 $447.70
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 12 $309.60
99000 276 274 $0.00