GRAND AVENUE URGENT CARE, LLC
NPI: 1174983118
· LARAMIE, WY 82070
· Urgent Care Clinic/Center
· NPI assigned 03/03/2016
$263K
Total Medicaid Paid
Provider Details
| Authorized Official | JACOBS, JOHN (OWNER) |
| NPI Enumeration Date | 03/03/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
342 |
$21K |
| 2019 |
487 |
$26K |
| 2020 |
381 |
$24K |
| 2021 |
1,388 |
$56K |
| 2022 |
1,523 |
$61K |
| 2023 |
896 |
$46K |
| 2024 |
615 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,995 |
2,690 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
994 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
859 |
693 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
260 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
219 |
$4K |