Medicaid Provider Spending

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

EASTSIDE FAMILY CARE LLC

NPI: 1689091548 · MONTGOMERY, AL 36117 · Urgent Care Clinic/Center · NPI assigned 03/27/2014

$6K
Total Medicaid Paid
120
Total Claims
111
Beneficiaries
4
Codes Billed
2018-02
First Month
2021-09
Last Month

Provider Details

Authorized OfficialNAMBURU, SAI (PARTNER)
NPI Enumeration Date03/27/2014

Related Entities

Other providers sharing the same authorized official: NAMBURU, SAI

ProviderCityStateTotal Paid
OURTOWN FAMILY CARE LLC SELMA AL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $687.09
2020 32 $1K
2021 73 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 26 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 28 $2K
87428 26 23 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 34 $961.62