Medicaid Provider Spending

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

MANTECOL LLC

NPI: 1346880051 · HAMMOND, LA 70401 · Urgent Care Clinic/Center · NPI assigned 01/10/2020

$661K
Total Medicaid Paid
24,458
Total Claims
17,955
Beneficiaries
15
Codes Billed
2020-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDYKES, DAVID (OWNER)
NPI Enumeration Date01/10/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,413 $35K
2021 7,236 $206K
2022 9,537 $232K
2023 4,577 $139K
2024 1,695 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,347 5,714 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,084 3,623 $124K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,655 2,289 $116K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,128 1,894 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 940 853 $66K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,825 2,437 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 699 630 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 395 209 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 236 176 $6K
99205 Prolong outpt/office vis 15 15 $2K
0012A 14 14 $444.96
87807 16 12 $128.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 14 $22.50
99000 55 50 $0.00
91301 32 25 $0.00