PEDIATRIC URGENT CARE OF DENTON, LP
NPI: 1619535796
· DENTON, TX 76205
· 208000000X
$4.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,131 |
$141K |
| 2021 |
22,101 |
$938K |
| 2022 |
23,017 |
$1.03M |
| 2023 |
19,790 |
$1.10M |
| 2024 |
11,940 |
$897K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
24,643 |
22,585 |
$2.22M |
| 99213 |
|
10,949 |
10,301 |
$958K |
| 99203 |
|
4,498 |
4,413 |
$418K |
| 99204 |
|
3,032 |
2,968 |
$300K |
| U0002 |
Covid-19 lab test non-cdc |
5,871 |
5,524 |
$78K |
| 87880 |
|
13,683 |
13,064 |
$48K |
| 87804 |
|
7,368 |
4,161 |
$25K |
| 99202 |
|
165 |
161 |
$16K |
| 87635 |
|
859 |
841 |
$10K |
| 87637 |
|
984 |
972 |
$9K |
| 87811 |
|
1,578 |
1,546 |
$8K |
| 99212 |
|
96 |
95 |
$8K |
| 87400 |
|
1,364 |
873 |
$6K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 90471 |
|
15 |
15 |
$1K |
| 99000 |
|
135 |
124 |
$788.40 |
| 87807 |
|
397 |
387 |
$330.00 |
| 87426 |
|
135 |
132 |
$220.00 |
| 81002 |
|
247 |
237 |
$110.00 |
| 99051 |
|
3,506 |
3,302 |
$28.00 |
| S0119 |
Ondansetron 4 mg |
76 |
74 |
$0.00 |
| A7003 |
Nebulizer administration set |
12 |
12 |
$0.00 |
| 71046 |
|
27 |
27 |
$0.00 |
| 94640 |
|
106 |
105 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
128 |
125 |
$0.00 |
| J7611 |
Albuterol non-comp con |
33 |
32 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
41 |
41 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |