Medicaid Provider Spending

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

DIVERSE COMMUNITY URGENT CARE PLLC

NPI: 1336605419 · PORTER, TX 77365 · Urgent Care Clinic/Center · NPI assigned 02/14/2019

$1K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2022-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialGRIGORYAN ROLAND, GAYANA (OWNER/PROVIDER)
NPI Enumeration Date02/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K