Medicaid Provider Spending

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

SUNNYLANE MEDICAL CLINIC LLC

NPI: 1255922811 · DEL CITY, OK 73115 · Urgent Care Clinic/Center · NPI assigned 01/27/2021

$621K
Total Medicaid Paid
7,456
Total Claims
6,884
Beneficiaries
10
Codes Billed
2021-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPETERSON, BRADEN (OWNER)
NPI Enumeration Date01/27/2021

Related Entities

Other providers sharing the same authorized official: PETERSON, BRADEN

ProviderCityStateTotal Paid
PETERSON HEALTHCARE LLC NORMAN OK $453K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 539 $50K
2022 2,959 $267K
2023 2,538 $198K
2024 1,420 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,244 3,775 $319K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,706 1,621 $182K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 361 361 $53K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 379 379 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 337 337 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 129 116 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 141 137 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 27 $618.24
36415 Collection of venous blood by venipuncture 107 106 $526.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $287.89