MANTECA URGENT CARE, INC
NPI: 1780107888
· MANTECA, CA 95336
· 207Q00000X
$4.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,724 |
$130K |
| 2019 |
4,739 |
$164K |
| 2020 |
8,120 |
$227K |
| 2021 |
27,220 |
$834K |
| 2022 |
37,997 |
$1.22M |
| 2023 |
17,383 |
$774K |
| 2024 |
16,225 |
$763K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
35,202 |
19,775 |
$1.37M |
| 87636 |
|
5,076 |
4,613 |
$713K |
| 99204 |
|
8,959 |
8,921 |
$639K |
| 87635 |
|
9,310 |
7,685 |
$465K |
| 99401 |
|
15,210 |
11,529 |
$287K |
| G2012 |
Brief check in by md/qhp |
23,428 |
13,196 |
$284K |
| 96372 |
|
4,527 |
3,625 |
$134K |
| Q3014 |
Telehealth facility fee |
3,359 |
2,157 |
$75K |
| 99213 |
|
2,816 |
2,361 |
$63K |
| J1100 |
Dexamethasone sodium phos |
2,144 |
1,848 |
$37K |
| J1885 |
Ketorolac tromethamine inj |
1,796 |
1,531 |
$17K |
| J2920 |
Methylprednisolone injection |
724 |
525 |
$12K |
| 97597 |
|
203 |
156 |
$8K |
| J0690 |
Cefazolin sodium injection |
904 |
685 |
$4K |
| 99243 |
|
56 |
49 |
$3K |
| J2405 |
Ondansetron hcl injection |
150 |
145 |
$3K |
| 99203 |
|
41 |
41 |
$3K |
| 94640 |
|
164 |
117 |
$2K |
| J2930 |
Methylprednisolone injection |
163 |
128 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
25 |
25 |
$543.52 |
| 81003 |
|
132 |
127 |
$258.72 |
| J0696 |
Ceftriaxone sodium injection |
19 |
14 |
$183.96 |