SEALY URGENT CARE CENTER P.A.
NPI: 1730660879
· SEALY, TX 77474
· 261QU0200X
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
368 |
$6K |
| 2021 |
1,396 |
$29K |
| 2022 |
1,891 |
$40K |
| 2023 |
1,060 |
$30K |
| 2024 |
249 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
906 |
826 |
$54K |
| 99214 |
|
310 |
286 |
$21K |
| 99203 |
|
280 |
273 |
$18K |
| 99204 |
|
95 |
91 |
$7K |
| 99212 |
|
165 |
144 |
$2K |
| 87426 |
|
86 |
83 |
$2K |
| 87804 |
|
299 |
288 |
$1K |
| 0001A |
|
54 |
53 |
$890.00 |
| 99000 |
|
160 |
153 |
$784.47 |
| S9088 |
Services provided in urgent |
1,951 |
1,752 |
$698.61 |
| 0002A |
|
37 |
36 |
$538.00 |
| 87880 |
|
184 |
179 |
$404.28 |
| 94640 |
|
44 |
43 |
$249.74 |
| 87428 |
|
12 |
12 |
$143.31 |
| 0031A |
|
22 |
22 |
$110.72 |
| 87807 |
|
15 |
14 |
$52.80 |
| 99072 |
|
66 |
61 |
$27.00 |
| A7003 |
Nebulizer administration set |
37 |
37 |
$10.90 |
| J7620 |
Albuterol ipratrop non-comp |
42 |
41 |
$0.00 |
| 94760 |
|
43 |
42 |
$0.00 |
| 91303 |
|
21 |
21 |
$0.00 |
| 91300 |
|
135 |
118 |
$0.00 |