Medicaid Provider Spending

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

MID ATLANTIC MEDICINE LLC

NPI: 1508459199 · WASHINGTON, DC 20020 · Urgent Care Clinic/Center · NPI assigned 02/16/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EVANS, TODD controls 20+ related entities in our dataset. Read more

$1.84M
Total Medicaid Paid
27,914
Total Claims
25,560
Beneficiaries
14
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, TODD (VP IPM)
NPI Enumeration Date02/16/2021

Related Entities

Other providers sharing the same authorized official: EVANS, TODD

ProviderCityStateTotal Paid
MCALLEN HOSPITALIST GROUP, PLLC EDINBURG TX $7.40M
TEXOMACARE DENISON TX $5.95M
NORTHWEST TEXAS WYATT CLINIC PLLC AMARILLO TX $4.39M
NORTHERN NEVADA MEDICAL GROUP, LLC SPARKS NV $2.60M
TEXOMACARE MADILL OK $2.35M
ST. MARY'S PHYSICIAN ASSOCIATES, LLC ENID OK $1.76M
LAS VEGAS MEDICAL GROUP LLC LAS VEGAS NV $1.36M
AIKEN PROFESSIONAL ASSOCIATION, LLC AIKEN SC $1.35M
NORTHWEST URGENT CARE, PLLC AMARILLO TX $1.02M
TEXOMACARE SPECIALTY PHYSICIANS DENISON TX $644K
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE LLC CLARION PA $636K
NWTX PHYSICIAN NETWORK, PLLC AMARILLO TX $475K
HEART CLINIC, PLLC MCALLEN TX $385K
LAREDO PHYSICIANS GROUP LAREDO TX $365K
NEVADA URGENT CARE NETWORK LLC SPARKS NV $211K
UHS OF DESERT SPRINGS, INC. HENDERSON NV $151K
MANATEE CARDIOLOGY ASSOCIATES, LLC BRADENTON FL $23K
WELLINGTON PHYSICIAN ALLIANCES INC WELLINGTON FL $14K
MANATEE PHYSICIAN ALLIANCE, LLC BRADENTON FL $14K
MARY ALICE COWAN, MD, PLLC HOUSTON TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,104 $109K
2023 13,041 $797K
2024 12,769 $931K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,509 8,895 $765K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,910 8,226 $664K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 824 793 $104K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 874 844 $94K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,501 1,432 $82K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,193 1,165 $60K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,727 1,556 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 951 424 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 449 403 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 366 336 $4K
81025 579 518 $3K
81003 231 216 $247.49
S9083 Global fee urgent care centers 773 726 $137.00
J1885 Injection, ketorolac tromethamine, per 15 mg 27 26 $20.80