EAST SIDE URGENT CARE LLC
NPI: 1558531467
· PROVIDENCE, RI 02904
· 261QU0200X
$946K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,343 |
$354K |
| 2019 |
8,275 |
$363K |
| 2020 |
3,788 |
$148K |
| 2021 |
2,573 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,538 |
6,095 |
$435K |
| 99204 |
|
2,474 |
1,985 |
$250K |
| 99213 |
|
3,104 |
2,852 |
$103K |
| 99203 |
|
1,460 |
1,381 |
$81K |
| 87804 |
|
1,973 |
917 |
$23K |
| 99202 |
|
529 |
508 |
$20K |
| 87880 |
|
1,481 |
1,245 |
$14K |
| 99212 |
|
211 |
207 |
$6K |
| 87426 |
|
145 |
140 |
$4K |
| 81003 |
|
2,288 |
1,806 |
$3K |
| 99211 |
|
240 |
217 |
$3K |
| 96372 |
|
145 |
115 |
$2K |
| 84703 |
|
254 |
197 |
$1K |
| G8427 |
Docrev cur meds by elig clin |
109 |
57 |
$184.43 |
| 1036F |
|
28 |
13 |
$10.10 |