Medicaid Provider Spending

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

MADISON HEIGHTS URGENT CARE, PC

NPI: 1437393386 · MADISON HEIGHTS, MI 48071 · Pediatrics Physician · NPI assigned 04/22/2009

$3.72M
Total Medicaid Paid
227,308
Total Claims
199,381
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOMA, NABEEL (PRESIDENT)
NPI Enumeration Date04/22/2009

Related Entities

Other providers sharing the same authorized official: TOMA, NABEEL

ProviderCityStateTotal Paid
MADISON HEIGHTS PEDIATRICS PC MADISON HEIGHTS MI $1.58M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,048 $568K
2019 42,320 $584K
2020 20,377 $448K
2021 21,829 $555K
2022 44,216 $754K
2023 29,373 $445K
2024 17,145 $369K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,366 45,428 $2.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,930 3,722 $284K
99058 2,016 1,553 $128K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,172 3,737 $113K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,120 5,449 $77K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,681 1,666 $76K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 702 691 $67K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 385 385 $40K
97802 18,408 16,834 $38K
36415 Collection of venous blood by venipuncture 12,401 12,000 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 555 509 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 409 394 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 341 336 $30K
71045 Radiologic examination, chest; single view 1,300 1,260 $15K
93000 1,621 1,580 $12K
72100 327 325 $6K
81003 3,473 3,310 $5K
94010 259 246 $4K
99442 273 249 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 51 51 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 55 55 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,918 2,700 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 133 131 $3K
99051 8,997 8,318 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,331 2,040 $1K
72040 72 72 $1K
71046 Radiologic examination, chest; 2 views 75 75 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,541 3,241 $957.69
J1030 Injection, methylprednisolone acetate, 40 mg 160 154 $756.24
81025 99 99 $539.87
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 117 110 $539.73
99000 608 582 $511.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 90 89 $462.69
90460 Immunization administration through 18 years of age via any route, first or only component 15 13 $306.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 208 200 $255.32
69209 25 24 $241.55
J2010 Injection, lincomycin hcl, up to 300 mg 58 52 $192.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 41 35 $175.09
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17,344 15,917 $162.45
73020 15 15 $139.48
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 20 14 $131.99
82962 28 28 $59.64
3074F 21,395 18,671 $15.15
3079F 13,683 12,204 $10.98
3078F 14,635 13,146 $10.47
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $9.01
2010F 1,897 1,708 $8.08
3008F 1,710 1,545 $7.31
3075F 6,568 6,050 $6.68
3080F 4,117 3,797 $4.58
3077F 4,497 4,048 $4.14
G8752 Most recent systolic blood pressure < 140 mmhg 1,193 1,054 $0.10
G8754 Most recent diastolic blood pressure < 90 mmhg 1,733 1,502 $0.10
90658 13 13 $0.07
2000F 1,298 1,199 $0.02
G8753 Most recent systolic blood pressure >= 140 mmhg 651 584 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 166 159 $0.00