Medicaid Provider Spending

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

SOUTHWEST CONVENIENCE CLINIC INC

NPI: 1710370309 · BETHEL, OH 45106 · Urgent Care Clinic/Center · NPI assigned 03/06/2015

$9K
Total Medicaid Paid
307
Total Claims
262
Beneficiary Records
6
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialDUNN, TRACY (OWNER)
NPI Enumeration Date03/06/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 307 $9K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 52 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60 58 $3K
99215 Prolong outpt/office vis 19 19 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 66 32 $715.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 43 $402.00
S9088 Services provided in an urgent care center (list in addition to code for service) 64 58 $0.00