Medicaid Provider Spending

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

KID CARE PEDIATRIC URGENT CARE, LLC

NPI: 1255039707 · CONWAY, SC 29526 · Family Nurse Practitioner · NPI assigned 02/22/2023

$356K
Total Medicaid Paid
8,111
Total Claims
6,835
Beneficiaries
11
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWATTS, SUMMER (FNP)
NPI Enumeration Date02/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,110 $130K
2024 5,001 $226K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,389 1,283 $119K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,785 1,508 $117K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,583 1,458 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,536 1,353 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 225 200 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,154 644 $10K
99205 Prolong outpt/office vis 40 39 $5K
87807 276 263 $2K
99215 Prolong outpt/office vis 15 14 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 29 $1K
99051 67 44 $48.00