Medicaid Provider Spending

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

MEDWISE LLC

NPI: 1629604434 · COWETA, OK 74429 · Urgent Care Clinic/Center · NPI assigned 03/13/2020

$11.08M
Total Medicaid Paid
171,407
Total Claims
170,584
Beneficiaries
20
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLACKSTAD, DENNIS (PRESIDENT)
NPI Enumeration Date03/13/2020

Related Entities

Other providers sharing the same authorized official: BLACKSTAD, DENNIS

ProviderCityStateTotal Paid
ALLCARE GROUP PLLC SAPULPA OK $256K
CHARGER HEALTH GROUP PLLC BROKEN ARROW OK $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 11,886 $679K
2022 48,721 $2.97M
2023 59,753 $4.03M
2024 51,047 $3.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,188 50,823 $3.90M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23,899 23,897 $2.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,469 20,374 $2.21M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 25,821 25,625 $1000K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,775 5,774 $814K
87428 12,605 12,574 $368K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18,628 18,588 $272K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,172 5,158 $105K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,880 4,808 $96K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 454 452 $22K
81025 1,120 1,117 $9K
99215 Prolong outpt/office vis 55 55 $9K
87807 540 540 $6K
71046 Radiologic examination, chest; 2 views 158 158 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 63 63 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 209 207 $3K
81003 286 286 $570.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 42 42 $343.14
86308 16 16 $73.76
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 27 27 $4.05