Medicaid Provider Spending

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

PONCA CITY IMMEDIATE CARE, LLC

NPI: 1740837889 · PONCA CITY, OK 74601 · Urgent Care Clinic/Center · NPI assigned 08/22/2019

$3.77M
Total Medicaid Paid
62,930
Total Claims
61,368
Beneficiaries
31
Codes Billed
2019-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROSS, CHADWICK (MEDICAL DIRECTOR)
NPI Enumeration Date08/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,180 $99K
2020 9,822 $577K
2021 15,480 $893K
2022 15,652 $999K
2023 13,254 $805K
2024 6,542 $400K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,181 18,222 $2.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,543 6,388 $467K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,586 8,466 $348K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,784 1,783 $260K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,134 8,029 $233K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,514 1,502 $128K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,731 5,671 $84K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 778 778 $74K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 512 507 $51K
87081 4,117 4,076 $24K
87634 244 244 $15K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 656 648 $14K
99051 1,702 1,688 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,477 1,441 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 635 604 $8K
87807 563 558 $7K
71046 Radiologic examination, chest; 2 views 98 97 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 33 $2K
86756 130 130 $2K
83036 Hemoglobin; glycosylated (A1C) 99 99 $855.36
J1040 Injection, methylprednisolone acetate, 80 mg 36 36 $418.32
36415 Collection of venous blood by venipuncture 102 98 $374.33
86308 43 43 $198.23
82565 38 37 $163.80
80051 25 24 $156.00
82550 25 24 $144.75
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $109.72
84520 26 25 $91.26
82947 25 24 $87.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 55 55 $53.02
81003 25 25 $50.00