Medicaid Provider Spending

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

DELTA CLINICAL SERVICES LLC

NPI: 1245968718 · BRINKLEY, AR 72021 · Urgent Care Clinic/Center · NPI assigned 08/11/2022

$1K
Total Medicaid Paid
284
Total Claims
130
Beneficiaries
6
Codes Billed
2022-12
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMIDDLETON, MARCO (OWNER)
NPI Enumeration Date08/11/2022

Related Entities

Other providers sharing the same authorized official: MIDDLETON, MARCO

ProviderCityStateTotal Paid
BRINKLEY FAMILY PHARMACY LLC BRINKLEY AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 206 $299.96
2023 78 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63 41 $801.74
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $303.04
90686 68 22 $234.51
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 23 $65.45
90460 Immunization administration through 18 years of age via any route, first or only component 51 14 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 16 $0.00