Medicaid Provider Spending

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

CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC

NPI: 1740810373 · FREDERICKSBURG, VA 22407 · Urgent Care Clinic/Center · NPI assigned 01/23/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$820K
Total Medicaid Paid
29,521
Total Claims
25,184
Beneficiaries
19
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (PRESIDENT)
NPI Enumeration Date01/23/2020

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
COASTAL CAROLINA PRIMARY CARE, LLC MYRTLE BEACH SC $4.04M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.66M
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL $411K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $0.00
2021 1,905 $51K
2022 7,779 $214K
2023 7,839 $228K
2024 11,970 $328K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,033 4,638 $458K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,060 1,982 $133K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,249 2,529 $72K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,995 1,926 $61K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,985 2,841 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 288 285 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 832 799 $6K
99000 1,560 1,510 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 54 54 $4K
87807 273 259 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 41 41 $2K
99051 8,465 7,667 $458.68
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 30 30 $291.10
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 30 30 $54.15
36415 Collection of venous blood by venipuncture 236 224 $35.61
36416 319 312 $2.48
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 29 29 $1.12
S9083 Global fee urgent care centers 28 14 $0.00
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) 14 14 $0.00