Medicaid Provider Spending

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

MEDCARE EXPRESS LLC

NPI: 1316124548 · NEWINGTON, CT 06111 · Urgent Care Clinic/Center · NPI assigned 01/30/2008

$7.49M
Total Medicaid Paid
129,157
Total Claims
108,555
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, PARTHSARTHI (MEDICAL DIRECTOR)
NPI Enumeration Date01/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,610 $869K
2019 12,703 $805K
2020 15,204 $920K
2021 28,333 $1.63M
2022 22,902 $1.23M
2023 19,107 $1.07M
2024 16,298 $972K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,332 26,619 $2.90M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,487 21,707 $1.66M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21,872 18,381 $1.01M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,424 8,362 $864K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,669 4,285 $318K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,824 4,710 $235K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,598 5,474 $120K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 802 746 $95K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 810 757 $90K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,679 5,222 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 241 232 $27K
99384 137 125 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,233 1,987 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 916 785 $11K
99173 1,623 1,470 $11K
90686 789 747 $9K
93000 687 582 $8K
99383 51 47 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 54 50 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 26 $4K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 108 95 $4K
99385 26 26 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 44 32 $3K
36415 Collection of venous blood by venipuncture 869 810 $3K
69210 85 81 $2K
86580 329 291 $2K
90662 79 68 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 113 106 $1K
81025 157 142 $857.68
90472 Immunization administration, each additional vaccine (list separately) 44 42 $738.15
90715 42 39 $613.98
G0008 Administration of influenza virus vaccine 107 93 $470.26
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 69 56 $273.92
81002 4,439 3,996 $216.60
90694 18 17 $142.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $83.56
3008F 237 223 $8.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 51 44 $1.98
99000 71 68 $0.00