Medicaid Provider Spending

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

FORT PAYNE URGENT CARE, LLC

NPI: 1346986015 · FORT PAYNE, AL 35967 · Urgent Care Clinic/Center · NPI assigned 05/06/2022

$77K
Total Medicaid Paid
1,923
Total Claims
1,607
Beneficiaries
10
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJUAN, LUIZ (OWNER)
NPI Enumeration Date05/06/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 76 $3K
2023 733 $35K
2024 1,114 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 342 310 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 578 427 $27K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 252 230 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 263 237 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 73 64 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 157 151 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 189 138 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $577.28
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $544.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 43 26 $28.92