CLOVIS FAMILY URGENT CARE LLC
NPI: 1275239733
· CLOVIS, NM 88101
· 363LA2100X
$269K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,305 |
$269K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
697 |
693 |
$124K |
| 99214 |
|
371 |
353 |
$52K |
| 99203 |
|
361 |
359 |
$42K |
| 99213 |
|
156 |
154 |
$16K |
| 87804 |
|
716 |
353 |
$13K |
| 87426 |
|
409 |
403 |
$12K |
| 87880 |
|
445 |
439 |
$8K |
| 96372 |
|
108 |
105 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$18.23 |
| 81003 |
|
18 |
18 |
$17.99 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$17.09 |