SPORT ORTHO URGENT CARE PC
NPI: 1659750834
· MOUNT JULIET, TN 37122
· 207XX0005X
$148K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,123 |
$32K |
| 2020 |
1,334 |
$46K |
| 2021 |
2,210 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
940 |
732 |
$39K |
| 99204 |
|
571 |
470 |
$39K |
| 99213 |
|
432 |
352 |
$14K |
| 99203 |
|
262 |
218 |
$12K |
| L4361 |
Pneuma/vac walk boot pre ots |
130 |
89 |
$12K |
| 73630 |
|
430 |
298 |
$5K |
| 20611 |
|
78 |
40 |
$4K |
| 73610 |
|
317 |
217 |
$4K |
| 73560 |
|
355 |
270 |
$4K |
| 73110 |
|
246 |
170 |
$4K |
| 73130 |
|
267 |
172 |
$3K |
| 73565 |
|
241 |
208 |
$3K |
| 20610 |
|
74 |
46 |
$2K |
| 73030 |
|
65 |
54 |
$909.07 |
| J1040 |
Methylprednisolone 80 mg inj |
45 |
38 |
$376.39 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
13 |
$348.04 |
| 72100 |
|
14 |
13 |
$260.14 |
| J1030 |
Methylprednisolone 40 mg inj |
27 |
24 |
$72.03 |
| J0670 |
Inj mepivacaine hcl/10 ml |
31 |
26 |
$13.98 |
| 99024 |
|
129 |
94 |
$0.00 |