MIDDLETOWN URGENT CARE LLC

NPI: 1467886838 · MIDDLETOWN, OH 45044 · Urgent Care Clinic/Center · NPI assigned 08/21/2013

$171K

Total Medicaid Paid

3,770

Total Claims

3,599

Beneficiaries

Codes Billed

2018-01

First Month

2018-11

Last Month

Provider Details

Authorized Official	GIORDON, MACHELLE (CREDENTIALING SPECIALIST)
NPI Enumeration Date	08/21/2013

Other providers sharing the same authorized official: GIORDON, MACHELLE

Provider	City	State	Total Paid
MASON FAMILY MEDICINE & ASSOCIATES LLC	MASON	OH	$835K
RAMAN BAISHNAB DO INC	STRONGSVILLE	OH	$12K
VEIN CLINICS OF LAKE COUNTY LLC	CONCORD TOWNSHIP	OH	$12K
EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC	BEACHWOOD	OH	$11K
NP MEDICAL SOLUTIONS LLC	MEDINA	OH	$9K
INSTITUTE FOR SPINE INC	CONCORD TWP	OH	$9K

Year	Claims	Total Paid
2018	3,770	$171K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,033	1,921	$131K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	599	587	$39K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17	14	$580.12
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	135	130	$180.97
94760		810	774	$8.70
81002		137	134	$7.26
99406		26	26	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	13	13	$0.00