Medicaid Provider Spending

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

PINNACLE URGENT CARE PLLC

NPI: 1437860889 · BURLINGTON, NC 27215 · Multi-Specialty Clinic/Center · NPI assigned 12/07/2022

$789K
Total Medicaid Paid
16,571
Total Claims
13,457
Beneficiaries
15
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLANCHARD, MATTHEW (OWNER)
NPI Enumeration Date12/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,925 $180K
2024 12,646 $608K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,266 2,396 $290K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,825 2,381 $193K
87428 3,740 3,092 $177K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 969 655 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 690 618 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,564 2,186 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 440 325 $5K
71046 Radiologic examination, chest; 2 views 178 156 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,231 1,107 $3K
87807 176 153 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 18 $686.34
81003 332 256 $585.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $122.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 83 72 $62.62
J1885 Injection, ketorolac tromethamine, per 15 mg 36 30 $18.65