Medicaid Provider Spending

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

ELITE HEALTH GROUP LLC SOUTHSIDE

NPI: 1619675246 · SOUTHSIDE, AL 35907 · Urgent Care Clinic/Center · NPI assigned 02/22/2023

$595.84
Total Medicaid Paid
43
Total Claims
40
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-04
Last Month

Provider Details

Authorized OfficialSTARGEL, PENNY (BILLER)
NPI Enumeration Date02/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 43 $595.84

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19 16 $595.84
87430 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00