DOCTORS URGENT CARE OFFICES MEDICAL GROUP INC

$11.16M

Total Medicaid Paid

192,179

Total Claims

185,969

Beneficiaries

24

Codes Billed

2018-01

First Month

2021-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		90,115	87,066	$7.00M
99203		24,938	24,280	$1.84M
99204		13,744	13,468	$1.05M
99213		10,758	10,405	$812K
99212		3,109	3,035	$247K
S9083	Urgent care center global	1,431	1,393	$123K
99215	Prolong outpt/office vis	264	257	$21K
87880		12,991	12,692	$18K
96372		4,241	3,844	$13K
81003		12,121	11,769	$9K
87804		5,413	5,169	$9K
99202		92	89	$7K
99051		10,558	10,166	$2K
81025		941	917	$720.98
J0696	Ceftriaxone sodium injection	141	138	$183.26
94640		172	166	$182.01
J1885	Ketorolac tromethamine inj	279	271	$40.80
J1100	Dexamethasone sodium phos	190	184	$8.58
36415		15	14	$2.25
A6454	Self-adher band w>=3" <5"/yd	80	79	$0.69
J7645	Ipratropium bromide comp	13	12	$0.46
J7620	Albuterol ipratrop non-comp	39	37	$0.32
J7613	Albuterol non-comp unit	50	49	$0.16
99000		484	469	$0.00

Medicaid Provider Spending