Medicaid Provider Spending

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

TYSON URGENT CARE, LLC

NPI: 1417299090 · VIENNA, VA 22182 · Urgent Care Clinic/Center · NPI assigned 03/21/2013

$56K
Total Medicaid Paid
1,559
Total Claims
1,139
Beneficiaries
9
Codes Billed
2018-11
First Month
2019-12
Last Month

Provider Details

Authorized OfficialBAILEY-EL, RACHELLE (DIRECTOR)
NPI Enumeration Date03/21/2013

Related Entities

Other providers sharing the same authorized official: BAILEY-EL, RACHELLE

ProviderCityStateTotal Paid
PPNS CLARKSVILLE MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $5K
2019 1,478 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 439 345 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 260 211 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 296 214 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 25 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 227 80 $1K
94010 36 25 $661.04
82570 104 92 $408.99
81025 64 55 $272.81
81003 104 92 $187.47