Medicaid Provider Spending

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

LITTLE PANDAS PEDIATRIC URGENT CARE LLC

NPI: 1528645645 · PASADENA, TX 77504 · Pediatrics Physician · NPI assigned 03/25/2021

$745K
Total Medicaid Paid
17,837
Total Claims
16,750
Beneficiaries
25
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAI, RENE (CO-OWNER)
NPI Enumeration Date03/25/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 3,986 $190K
2023 6,391 $283K
2024 7,460 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,347 3,285 $266K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,156 2,921 $255K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,677 1,558 $155K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 565 547 $53K
87501 1,312 1,274 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,201 1,142 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,408 2,293 $4K
99000 2,245 2,137 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 543 276 $631.44
81002 520 487 $196.30
87802 86 85 $103.19
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 76 $69.95
87430 44 44 $14.12
81003 17 17 $1.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 62 57 $0.26
J8540 Dexamethasone, oral, 0.25 mg 161 150 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 13 $0.00
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 58 53 $0.00
A9150 Non-prescription drugs 32 31 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13 13 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 13 12 $0.00
94664 75 75 $0.00
99051 43 42 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 17 17 $0.00
S9083 Global fee urgent care centers 148 145 $0.00