Medicaid Provider Spending

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

SOUTH SALEM IMMEDIATE CARE INC.

NPI: 1871648402 · SALEM, OR 97302 · Legal Medicine · NPI assigned 01/24/2007

$550K
Total Medicaid Paid
9,121
Total Claims
8,827
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMADDY, RACHEL (PRESIDENT/OWNER)
NPI Enumeration Date01/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,923 $102K
2019 1,498 $75K
2020 786 $37K
2021 919 $61K
2022 1,467 $101K
2023 1,591 $107K
2024 937 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,158 2,115 $165K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,121 1,092 $128K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 997 948 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,209 1,129 $70K
99205 Prolong outpt/office vis 346 339 $52K
99215 Prolong outpt/office vis 132 131 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 223 217 $14K
93000 575 563 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 496 481 $5K
81000 1,367 1,324 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 61 60 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 99 99 $3K
86580 112 109 $642.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 30 $569.22
36415 Collection of venous blood by venipuncture 102 102 $215.85
94760 28 27 $49.85
99072 65 61 $15.00