Medicaid Provider Spending

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

DESTINY URGENT AND PRIMARY CARE CLINIC. LLC

NPI: 1437738804 · CATOOSA, OK 74015 · Clinic/Center · NPI assigned 04/05/2021

$54K
Total Medicaid Paid
802
Total Claims
756
Beneficiaries
7
Codes Billed
2021-11
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMAINA, ERNEST (OWNER/PROVIDER)
NPI Enumeration Date04/05/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 175 $14K
2022 499 $32K
2023 128 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 282 255 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 264 249 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 127 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34 31 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20 20 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 49 48 $942.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 26 $382.20