Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › WAKE FOREST › MOONLIGHT PEDIATRIC URGENT CARE PA

MOONLIGHT PEDIATRIC URGENT CARE PA

NPI: 1558872804 · WAKE FOREST, NC 27587 · Pediatrics Physician · NPI assigned 10/13/2017

$8K
Total Medicaid Paid
288
Total Claims
227
Beneficiaries
5
Codes Billed
2019-03
First Month
2020-02
Last Month

Provider Details

Authorized OfficialFOX, KIMBERLY (OWNER)
NPI Enumeration Date10/13/2017

Related Entities

Other providers sharing the same authorized official: FOX, KIMBERLY

ProviderCityStateTotal Paid
SUNSHINE PEDIATRICS, PA SMITHFIELD NC $11.49M
NITELITE PEDIATRIC URGENT CARE SMITHFIELD NC $4.31M
FOX-STEPPS THERAPY SERVICES PINE BLUFF AR $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 136 $2K
2020 152 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 21 18 $4K
99051 127 107 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 64 54 $801.35
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 44 19 $553.66
99070 32 29 $281.59