Medicaid Provider Spending

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

PINE MEDICAL PLLC

NPI: 1598232035 · BELLVILLE, TX 77418 · Urgent Care Clinic/Center · NPI assigned 11/01/2018

$14K
Total Medicaid Paid
600
Total Claims
460
Beneficiaries
4
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialODINA, MOROMOKE (OWNER)
NPI Enumeration Date11/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 18 $606.77
2022 157 $3K
2023 240 $5K
2024 185 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 141 113 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69 64 $6K
S9088 Services provided in an urgent care center (list in addition to code for service) 364 270 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 13 $0.00