TULSA PEDIATRIC URGENT CARE
NPI: 1871745802
· TULSA, OK 74133
· 261QU0200X
$1.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,513 |
$173K |
| 2022 |
12,940 |
$769K |
| 2023 |
10,544 |
$637K |
| 2024 |
13 |
$673.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,502 |
9,352 |
$725K |
| 99203 |
|
3,404 |
3,402 |
$324K |
| 99214 |
|
1,815 |
1,807 |
$192K |
| 87428 |
|
5,288 |
5,261 |
$169K |
| 87651 |
|
1,418 |
1,414 |
$42K |
| 99204 |
|
287 |
287 |
$40K |
| 87880 |
|
2,190 |
2,186 |
$31K |
| 87426 |
|
382 |
378 |
$16K |
| 87634 |
|
244 |
243 |
$15K |
| 71046 |
|
503 |
502 |
$10K |
| 87502 |
|
94 |
94 |
$8K |
| 87807 |
|
473 |
473 |
$5K |
| 94640 |
|
76 |
76 |
$807.54 |
| 74018 |
|
38 |
38 |
$674.66 |
| 99051 |
|
80 |
79 |
$540.00 |
| 87804 |
|
14 |
13 |
$382.72 |
| A7003 |
Nebulizer administration set |
80 |
80 |
$167.68 |
| 85025 |
|
24 |
24 |
$165.27 |
| A7000 |
Disposable canister for pump |
12 |
12 |
$109.80 |
| J8540 |
Oral dexamethasone |
14 |
14 |
$48.00 |
| A7002 |
Tubing used w suction pump |
12 |
12 |
$47.88 |
| J7613 |
Albuterol non-comp unit |
60 |
60 |
$4.36 |