Medicaid Provider Spending

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

PRN CLINIC URGENT CARE, PLLC

NPI: 1811273295 · SAGINAW, MI 48602 · Family Medicine Physician · NPI assigned 10/28/2011

$1.53M
Total Medicaid Paid
21,814
Total Claims
11,785
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCARTHRON, JAMES (OWNER)
NPI Enumeration Date10/28/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,873 $227K
2019 2,851 $315K
2020 3,130 $221K
2021 4,038 $239K
2022 5,092 $311K
2023 3,736 $206K
2024 94 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 5,602 2,377 $555K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,955 3,387 $360K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,023 2,590 $270K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,469 1,462 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,434 966 $114K
90837 Psychotherapy, 53 minutes with patient 933 678 $93K
99443 94 60 $10K
90832 Psychotherapy, 30 minutes with patient 76 61 $3K
99205 Prolong outpt/office vis 12 12 $2K
81025 91 83 $552.69
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 96 82 $0.00
G2068 Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 29 27 $0.00