Medicaid Provider Spending

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

FENTON LATE HOURS CLINIC II PC

NPI: 1679072763 · FENTON, MI 48430 · Urgent Care Clinic/Center · NPI assigned 02/05/2018

$50K
Total Medicaid Paid
2,210
Total Claims
2,091
Beneficiaries
6
Codes Billed
2018-04
First Month
2020-03
Last Month

Provider Details

Authorized OfficialDURMON, MICHELLE (BILLER)
NPI Enumeration Date02/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,004 $21K
2019 1,090 $24K
2020 116 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 963 919 $46K
99058 80 67 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $82.26
3074F 410 388 $0.00
1036F 354 332 $0.00
3078F 391 373 $0.00