Medicaid Provider Spending

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

MILWAUKEE IMMEDIATE CARE CORPORATION

NPI: 1790959138 · MILWAUKEE, WI 53206 · Urgent Care Clinic/Center · NPI assigned 04/16/2008

$33K
Total Medicaid Paid
1,045
Total Claims
897
Beneficiary Records
7
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialMONGOLES, PERRY (PROPRIETOR)
NPI Enumeration Date04/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,045 $33K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 480 369 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 181 167 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 75 74 $6K
99050 125 115 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 27 $369.23
99000 82 78 $311.00
81002 72 67 $161.53