Medicaid Provider Spending

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

CHILDREN'S HEALTH PM URGENT CARE, PLLC

NPI: 1275013955 · THE COLONY, TX 75056 · Pediatric Emergency Medicine (Pediatrics) Physician · NPI assigned 08/21/2018

$13.51M
Total Medicaid Paid
145,135
Total Claims
131,645
Beneficiaries
31
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, MARLENA (SR. DIRECTOR, CRED & ENROLLMENT)
NPI Enumeration Date08/21/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $0.00
2020 3,896 $208K
2021 24,027 $1.34M
2022 52,566 $4.03M
2023 31,722 $3.49M
2024 32,909 $4.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,506 30,619 $3.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,204 28,250 $3.55M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27,445 26,269 $3.29M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 22,758 21,358 $2.62M
99215 Prolong outpt/office vis 193 190 $26K
99205 Prolong outpt/office vis 169 168 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,012 3,170 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 84 80 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 39 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,574 5,830 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,508 2,235 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 85 81 $271.89
87428 54 54 $216.80
73110 27 24 $165.60
T1013 Sign language or oral interpretive services, per 15 minutes 155 155 $70.00
81003 1,166 979 $34.02
99000 3,972 3,774 $32.40
69209 14 14 $24.70
87807 56 56 $11.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 105 101 $0.85
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 103 89 $0.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 58 58 $0.36
99051 6,478 5,874 $0.00
S9083 Global fee urgent care centers 142 139 $0.00
99072 90 84 $0.00
73140 12 12 $0.00
J7699 Noc drugs, inhalation solution administered through dme 12 12 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,450 1,309 $0.00
J8540 Dexamethasone, oral, 0.25 mg 638 597 $0.00
36416 14 13 $0.00
82962 12 12 $0.00