Medicaid Provider Spending

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

BSMH URGENT CARE VENTURES I LLC

NPI: 1689243503 · MAINEVILLE, OH 45039 · Urgent Care Clinic/Center · NPI assigned 06/24/2021

$19K
Total Medicaid Paid
855
Total Claims
740
Beneficiaries
12
Codes Billed
2021-11
First Month
2022-08
Last Month

Provider Details

Authorized OfficialDARDEAU, SEAN (COO)
NPI Enumeration Date06/24/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 219 $4K
2022 636 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 122 113 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 83 74 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93 88 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 135 112 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 29 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 48 46 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 100 49 $994.04
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 29 $347.82
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 27 24 $0.00
4004F 30 27 $0.00
G8484 Influenza immunization was not administered, reason not given 104 99 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 53 50 $0.00