Medicaid Provider Spending

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

OPTUM URGENT CARE, PLLC

NPI: 1285975797 · JERICHO, NY 11753 · Urgent Care Clinic/Center · NPI assigned 03/07/2013

$24.85M
Total Medicaid Paid
254,236
Total Claims
243,039
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOREL, RICHARD (PRESIDENT)
Parent OrganizationPROHEALTH CARE ASSOCIATES LLP
NPI Enumeration Date03/07/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,947 $3.28M
2019 32,051 $4.44M
2020 31,050 $3.09M
2021 72,596 $5.62M
2022 53,416 $4.33M
2023 29,114 $2.66M
2024 15,062 $1.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,014 80,600 $10.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,212 26,342 $3.96M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31,584 31,481 $3.83M
S9083 Global fee urgent care centers 12,609 11,447 $2.97M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,134 10,672 $995K
99050 23,132 22,841 $883K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29,661 28,834 $775K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,436 4,432 $426K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,979 2,976 $363K
87428 11,332 11,082 $90K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,202 3,549 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,838 3,729 $77K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,263 3,231 $32K
99215 Prolong outpt/office vis 244 239 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 141 141 $9K
99205 Prolong outpt/office vis 62 62 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 145 143 $5K
71046 Radiologic examination, chest; 2 views 270 269 $830.60
93000 32 32 $480.00
81003 325 323 $418.02
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 51 50 $359.49
73610 94 93 $274.80
99201 12 12 $272.88
81025 168 167 $247.83
73130 13 13 $45.43
73630 34 33 $42.15
81002 22 22 $13.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 51 50 $2.79
87807 98 97 $0.00
99000 29 29 $0.00
36415 Collection of venous blood by venipuncture 14 13 $0.00
99001 23 23 $0.00
90715 12 12 $0.00