Medicaid Provider Spending

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

URGENT CARE OF PAULS VALLEY APRN-CNP LLC

NPI: 1477097699 · PAULS VALLEY, OK 73075 · Urgent Care Clinic/Center · NPI assigned 12/06/2016

$1.69M
Total Medicaid Paid
28,139
Total Claims
27,321
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, LETITIA (NURSE PRACTITIONER / OWNER)
NPI Enumeration Date12/06/2016

Related Entities

Other providers sharing the same authorized official: JACKSON, LETITIA

ProviderCityStateTotal Paid
REFLECTIVE WELLNESS MIND AND BODY AURORA CO $1.36M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,782 $157K
2019 3,552 $197K
2020 1,994 $115K
2021 4,038 $251K
2022 5,007 $313K
2023 6,205 $375K
2024 4,561 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,463 9,025 $940K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,056 2,056 $186K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,222 3,135 $158K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,924 1,876 $144K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,729 3,635 $108K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,957 5,824 $86K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 423 423 $58K
99051 1,209 1,198 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72 68 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 17 $722.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 54 52 $675.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $7.28