Medicaid Provider Spending

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

GOLD STAR URGENT CARE LLC

NPI: 1528643608 · FLORENCE, SC 29505 · Urgent Care Clinic/Center · NPI assigned 03/10/2021

$619K
Total Medicaid Paid
13,038
Total Claims
10,407
Beneficiaries
15
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLANE-MILO, LATOYA (NURSE PRACTITIONER)
NPI Enumeration Date03/10/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,354 $140K
2022 5,569 $274K
2023 4,013 $158K
2024 1,102 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,145 1,775 $194K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,587 1,380 $97K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,853 1,584 $88K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,194 947 $60K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,129 903 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 589 542 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 727 692 $32K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,865 858 $18K
99205 Prolong outpt/office vis 151 112 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,533 1,382 $15K
99215 Prolong outpt/office vis 65 59 $6K
87807 43 39 $354.00
81002 129 110 $227.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $191.97
81001 15 12 $22.55