Medicaid Provider Spending

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

EAST SIDE URGENT CARE LLC

NPI: 1558531467 · PROVIDENCE, RI 02904 · Urgent Care Clinic/Center · NPI assigned 03/06/2008

$946K
Total Medicaid Paid
21,979
Total Claims
17,735
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialHETRICK, JULIE (NURSE MANAGER)
NPI Enumeration Date03/06/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,343 $354K
2019 8,275 $363K
2020 3,788 $148K
2021 2,573 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,538 6,095 $435K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,474 1,985 $250K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,104 2,852 $103K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,460 1,381 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,973 917 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 529 508 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,481 1,245 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 211 207 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 145 140 $4K
81003 2,288 1,806 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 240 217 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 145 115 $2K
84703 254 197 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 109 57 $184.43
1036F 28 13 $10.10