ULTRACARE MEDICAL SERVICES LLC
NPI: 1508192634
· MONTGOMERY, AL 36117
· 207R00000X
$460K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,654 |
$79K |
| 2019 |
3,224 |
$82K |
| 2020 |
1,941 |
$74K |
| 2021 |
1,707 |
$72K |
| 2022 |
1,573 |
$61K |
| 2023 |
1,409 |
$51K |
| 2024 |
1,044 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,415 |
5,898 |
$348K |
| 99213 |
|
2,307 |
1,879 |
$89K |
| 80061 |
|
1,014 |
784 |
$8K |
| 99204 |
|
66 |
62 |
$6K |
| 90674 |
|
151 |
125 |
$3K |
| 90656 |
|
91 |
79 |
$1K |
| 96372 |
|
176 |
131 |
$1K |
| 90688 |
|
81 |
76 |
$948.02 |
| 90471 |
|
301 |
229 |
$935.00 |
| 83036 |
|
45 |
43 |
$347.80 |
| 87804 |
|
32 |
15 |
$251.76 |
| 36415 |
|
178 |
157 |
$243.60 |
| 81003 |
|
80 |
69 |
$153.00 |
| J1100 |
Dexamethasone sodium phos |
35 |
26 |
$18.61 |
| Q3014 |
Telehealth facility fee |
86 |
72 |
$0.36 |
| 3078F |
|
321 |
286 |
$0.00 |
| 3077F |
|
116 |
101 |
$0.00 |
| 3074F |
|
537 |
452 |
$0.00 |
| 3079F |
|
407 |
327 |
$0.00 |
| 3075F |
|
39 |
39 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
61 |
38 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |