PROSPECT URGENT CARE LLC
NPI: 1760951644
· ASHTABULA, OH 44004
· 261QU0200X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
92 |
$3K |
| 2020 |
1,202 |
$60K |
| 2021 |
3,324 |
$152K |
| 2022 |
5,544 |
$220K |
| 2023 |
11,591 |
$477K |
| 2024 |
9,257 |
$381K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,492 |
5,742 |
$385K |
| 99213 |
|
6,782 |
6,158 |
$278K |
| 99203 |
|
5,010 |
4,627 |
$261K |
| 99204 |
|
2,281 |
2,012 |
$170K |
| 87426 |
|
2,353 |
2,165 |
$61K |
| 87880 |
|
4,555 |
4,095 |
$50K |
| 99215 |
Prolong outpt/office vis |
331 |
261 |
$25K |
| 87428 |
|
818 |
723 |
$25K |
| 87811 |
|
509 |
478 |
$19K |
| 99205 |
Prolong outpt/office vis |
69 |
67 |
$7K |
| 96372 |
|
596 |
458 |
$7K |
| 99202 |
|
61 |
56 |
$3K |
| 81002 |
|
625 |
575 |
$1K |
| 96361 |
|
31 |
13 |
$434.52 |
| 96374 |
|
32 |
14 |
$383.13 |
| 87804 |
|
30 |
13 |
$173.74 |
| J1100 |
Dexamethasone sodium phos |
146 |
89 |
$96.15 |
| J1885 |
Ketorolac tromethamine inj |
161 |
116 |
$88.71 |
| J0696 |
Ceftriaxone sodium injection |
67 |
40 |
$67.87 |
| J7040 |
Normal saline solution infus |
34 |
16 |
$44.45 |
| J2405 |
Ondansetron hcl injection |
27 |
12 |
$12.62 |