Medicaid Provider Spending

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

MEMORIAL HERMANN URGENT CARE PLLC

NPI: 1730821208 · SUGAR LAND, TX 77479 · Family Medicine Physician · NPI assigned 04/13/2022

$751K
Total Medicaid Paid
22,673
Total Claims
18,845
Beneficiaries
11
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERGUSON, CHARMAINE (VP, RISK MGMT/CORPORATE LEGAL)
NPI Enumeration Date04/13/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 8,406 $96K
2023 8,877 $418K
2024 5,390 $237K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,043 6,318 $285K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,124 4,478 $284K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,226 1,178 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,280 1,136 $66K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,865 1,605 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,992 1,717 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,632 1,960 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 49 37 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 102 88 $789.18
81003 340 309 $466.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 20 19 $0.00