Medicaid Provider Spending

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

PASSAIC MEDICAL WALK-IN AND WELLNESS CENTER LLC

NPI: 1366995896 · PASSAIC, NJ 07055 · Primary Care Clinic/Center · NPI assigned 08/02/2016

$144K
Total Medicaid Paid
5,653
Total Claims
3,479
Beneficiaries
10
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEE, MARK (OFFICE MANAGER)
NPI Enumeration Date08/02/2016

Related Entities

Other providers sharing the same authorized official: LEE, MARK

ProviderCityStateTotal Paid
HEARTSONG MEMORY CARE, LLC LOUISVILLE KY $24.05M
MARK LEE M.D., INC. WHITTIER CA $1.21M
STAR LIFE PEDIATRICS LLC HOPELAWN NJ $585K
MARK DAH JEN LEE SURGERY PC NEW YORK NY $175K
OPTOMETRIC PARTNERSHIP LLC LAS VEGAS NV $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 234 $6K
2019 515 $11K
2020 886 $21K
2021 912 $26K
2022 1,078 $29K
2023 1,361 $33K
2024 667 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,745 1,701 $104K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,253 764 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,017 488 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 25 $825.70
36415 Collection of venous blood by venipuncture 501 425 $640.58
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 25 $286.79
90688 15 13 $164.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 14 $137.17
93000 13 12 $82.78
81000 12 12 $17.44