Medicaid Provider Spending

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

KIDMED SOUTHSIDE PLC

NPI: 1477869337 · MIDLOTHIAN, VA 23112 · Urgent Care Clinic/Center · NPI assigned 08/28/2010

$2.36M
Total Medicaid Paid
44,826
Total Claims
40,792
Beneficiaries
26
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialFLANZENBAUM, MARK (PRESIDENT/MANAGING PARTNER)
Parent OrganizationKIDMED INC
NPI Enumeration Date08/28/2010

Related Entities

Other providers sharing the same authorized official: FLANZENBAUM, MARK

ProviderCityStateTotal Paid
KIDMED INC. GLEN ALLEN VA $17.40M
KIDMED INC. MECHANICSVILLE VA $23K
KIDMED INC. STAFFORD VA $82.87

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,788 $452K
2019 12,124 $647K
2020 7,359 $466K
2021 9,300 $471K
2022 6,255 $321K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,842 10,947 $888K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,565 3,401 $383K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,119 4,766 $262K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,490 3,371 $249K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,492 4,325 $145K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,559 1,498 $112K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,007 1,878 $86K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,157 2,877 $80K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,233 3,004 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 740 711 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,436 1,072 $30K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 537 506 $18K
87634 216 212 $9K
99051 760 719 $7K
71046 Radiologic examination, chest; 2 views 294 272 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 53 51 $3K
87807 195 174 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 161 117 $2K
81003 511 484 $915.48
87428 15 15 $566.21
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 28 $484.13
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 158 133 $179.12
S9088 Services provided in an urgent care center (list in addition to code for service) 138 130 $26.00
99000 26 25 $3.86
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 71 60 $2.02
X0002 17 16 $0.00