Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SHELBY TOWNSHIP › STONY CREEK URGENT CARE PLLC

STONY CREEK URGENT CARE PLLC

NPI: 1174993307 · SHELBY TOWNSHIP, MI 48316 · Urgent Care Clinic/Center · NPI assigned 09/30/2015

$16K
Total Medicaid Paid
416
Total Claims
368
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialTANGALOS, THEODORE (OWNER)
NPI Enumeration Date09/30/2015

Related Entities

Other providers sharing the same authorized official: TANGALOS, THEODORE

ProviderCityStateTotal Paid
SILVER PINE MEDICAL GROUP PLC STERLING HEIGHTS MI $94K
SAINT CLAIR SHORES PROMPT CARE PLLC SAINT CLAIR SHORES MI $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 189 $9K
2019 227 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 126 106 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 94 86 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 124 105 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $162.23
1036F 60 59 $0.00