Medicaid Provider Spending

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

SPENCER CONVENIENT HEALTHCARE LLC

NPI: 1730437542 · SPENCER, IA 51301 · Urgent Care Clinic/Center · NPI assigned 08/28/2012

$68K
Total Medicaid Paid
2,133
Total Claims
1,792
Beneficiaries
17
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialLAMOUREUX-LEWALLEN, CAROL (FAMILY NURSE PRACTITIONER)
NPI Enumeration Date08/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,069 $36K
2019 564 $19K
2020 289 $7K
2021 56 $2K
2022 155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 774 679 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 189 158 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 96 77 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 492 399 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 125 110 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 57 52 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 117 86 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 26 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 17 12 $496.56
90460 Immunization administration through 18 years of age via any route, first or only component 29 20 $373.92
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 26 26 $187.68
90756 32 21 $96.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $67.20
97802 13 13 $51.60
99001 77 69 $8.96
99406 27 14 $0.00
99051 19 18 $0.00