Medicaid Provider Spending

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

DRX ARIZONA I, LLC.

NPI: 1447558002 · PHOENIX, AZ 85018 · Urgent Care Clinic/Center · NPI assigned 03/07/2011

$31K
Total Medicaid Paid
826
Total Claims
713
Beneficiary Records
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialSJOLSETH, JEROMY (PRESIDENT)
NPI Enumeration Date03/07/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 826 $31K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 262 223 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 167 147 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $70.85
99051 181 163 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 203 168 $0.00