AMC URGENT CARE PLUS, LLC
NPI: 1285644153
· PONCA CITY, OK 74601
· 208D00000X
$5.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,350 |
$266K |
| 2019 |
8,394 |
$390K |
| 2020 |
8,370 |
$537K |
| 2021 |
15,342 |
$1.13M |
| 2022 |
17,140 |
$1.20M |
| 2023 |
18,043 |
$982K |
| 2024 |
15,789 |
$772K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
26,829 |
25,725 |
$2.73M |
| 99203 |
|
13,144 |
13,139 |
$1.21M |
| 87426 |
|
13,806 |
13,458 |
$549K |
| 87502 |
|
2,205 |
2,178 |
$185K |
| 87430 |
|
8,148 |
8,055 |
$118K |
| 87651 |
|
3,045 |
3,011 |
$93K |
| 87276 |
|
6,685 |
6,601 |
$93K |
| 87275 |
|
7,698 |
7,597 |
$85K |
| 87635 |
|
1,394 |
1,356 |
$70K |
| 99204 |
|
448 |
448 |
$63K |
| 87807 |
|
1,884 |
1,864 |
$22K |
| 96372 |
|
1,346 |
1,325 |
$19K |
| 87634 |
|
199 |
199 |
$12K |
| 85025 |
|
1,713 |
1,669 |
$12K |
| 86769 |
|
215 |
211 |
$9K |
| 71046 |
|
38 |
36 |
$1K |
| 81025 |
|
137 |
133 |
$1K |
| 99213 |
|
12 |
12 |
$664.95 |
| J3301 |
Triamcinolone acet inj nos |
100 |
100 |
$418.28 |
| 80053 |
|
38 |
38 |
$317.95 |
| J1100 |
Dexamethasone sodium phos |
232 |
232 |
$215.14 |
| 36415 |
|
35 |
34 |
$175.00 |
| J0696 |
Ceftriaxone sodium injection |
50 |
48 |
$91.03 |
| 81003 |
|
13 |
13 |
$26.00 |
| J1885 |
Ketorolac tromethamine inj |
14 |
14 |
$15.40 |