LITTLE PANDAS PEDIATRIC URGENT CARE LLC
NPI: 1528645645
· PASADENA, TX 77504
· 208000000X
$745K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,986 |
$190K |
| 2023 |
6,391 |
$283K |
| 2024 |
7,460 |
$272K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
3,347 |
3,285 |
$266K |
| 99213 |
|
3,156 |
2,921 |
$255K |
| 99214 |
|
1,677 |
1,558 |
$155K |
| 99204 |
|
565 |
547 |
$53K |
| 87501 |
|
1,312 |
1,274 |
$5K |
| 87426 |
|
1,201 |
1,142 |
$4K |
| 87880 |
|
2,408 |
2,293 |
$4K |
| 99000 |
|
2,245 |
2,137 |
$2K |
| 87804 |
|
543 |
276 |
$631.44 |
| 81002 |
|
520 |
487 |
$196.30 |
| 87802 |
|
86 |
85 |
$103.19 |
| 94640 |
|
80 |
76 |
$69.95 |
| 87430 |
|
44 |
44 |
$14.12 |
| 81003 |
|
17 |
17 |
$1.80 |
| J7613 |
Albuterol non-comp unit |
62 |
57 |
$0.26 |
| J8540 |
Oral dexamethasone |
161 |
150 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
13 |
$0.00 |
| A7004 |
Disposable nebulizer sml vol |
58 |
53 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
32 |
31 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
13 |
12 |
$0.00 |
| 94664 |
|
75 |
75 |
$0.00 |
| 99051 |
|
43 |
42 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
17 |
17 |
$0.00 |
| S9083 |
Urgent care center global |
148 |
145 |
$0.00 |