VALLEY MED URGENT CARE PLLC

$1.67M

Total Medicaid Paid

72,531

Total Claims

61,229

Beneficiaries

54

Codes Billed

2018-03

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		15,179	11,848	$450K
87811		7,447	6,490	$252K
99214		5,754	5,071	$236K
99203		2,933	2,681	$132K
S8301	Infect control supplies nos	6,159	5,234	$84K
87804		4,009	3,327	$82K
99204		1,297	1,108	$82K
G2023	Specimen collect covid-19	5,407	4,505	$65K
87426		1,809	1,656	$62K
87880		4,434	3,874	$53K
90792		303	292	$36K
99000		4,451	3,996	$35K
87899		3,992	3,321	$26K
96372		1,542	1,345	$19K
99212		774	669	$14K
85025		1,279	989	$8K
C9803	Hopd covid-19 spec collect	385	369	$6K
90460		428	184	$6K
99392		68	67	$4K
87636		43	41	$4K
99393		50	50	$3K
99384		37	37	$3K
99394		32	31	$2K
99202		67	57	$2K
87807		133	121	$1K
99382		30	30	$1K
87502		18	14	$965.64
92567		78	78	$963.96
87428		34	32	$808.39
92588		76	76	$770.89
81003		416	382	$711.27
J0696	Ceftriaxone sodium injection	553	491	$707.47
96110		68	68	$544.34
92587		63	63	$522.44
96160		111	111	$154.21
92551		18	18	$68.62
0012A		13	13	$68.39
J1100	Dexamethasone sodium phos	116	88	$60.85
0011A		12	12	$50.82
99211		33	28	$49.14
90461		136	100	$20.13
91301		33	33	$0.02
36416		1,432	1,063	$0.00
36415		548	456	$0.00
0241U		46	46	$0.00
97802		307	303	$0.00
90697		15	14	$0.00
90656		15	15	$0.00
99173		250	247	$0.00
90633		29	29	$0.00
97803		13	13	$0.00
90710		13	13	$0.00
S9083	Urgent care center global	13	12	$0.00
99072		30	18	$0.00

Medicaid Provider Spending