Medicaid Provider Spending

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

RIVERWOODS URGENT CARE CENTER LC

NPI: 1801894035 · PROVO, UT 84604 · Emergency Medicine Physician · NPI assigned 07/12/2005

$74K
Total Medicaid Paid
1,015
Total Claims
898
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialFRIDELL, MARCIA (OFFICE MANAGER)
NPI Enumeration Date07/12/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 279 $15K
2019 148 $11K
2020 106 $9K
2021 241 $20K
2022 220 $18K
2024 21 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 699 647 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 248 209 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 28 $6.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 40 14 $0.00