Medicaid Provider Spending

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

PELZER URGENT CARE LLC

NPI: 1619656352 · PELZER, SC 29669 · Urgent Care Clinic/Center · NPI assigned 07/11/2023

$34K
Total Medicaid Paid
616
Total Claims
495
Beneficiaries
5
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNERELLA, DOMODHAR (ADMINISTRATOR)
NPI Enumeration Date07/11/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 616 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 337 273 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 189 144 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 31 26 $868.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 29 $229.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 23 $188.52