Medicaid Provider Spending

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

NORTH TEXAS - MCA LLC

NPI: 1871911016 · FORT WORTH, TX 76177 · Ambulatory Surgical Clinic/Center · NPI assigned 04/04/2014

$8.21M
Total Medicaid Paid
99,891
Total Claims
91,812
Beneficiaries
46
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVILLAGRAN, ANTHONY (CFO)
NPI Enumeration Date04/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 599 $60K
2021 11,632 $947K
2022 29,013 $2.29M
2023 36,904 $3.29M
2024 21,743 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 33,827 32,646 $4.33M
99284 Emergency department visit for the evaluation and management, high severity 7,148 6,630 $2.42M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,749 9,685 $305K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,306 2,228 $300K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,006 2,917 $186K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 4,044 3,876 $166K
71045 Radiologic examination, chest; single view 3,888 3,682 $95K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,388 3,262 $67K
87430 2,453 2,378 $49K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,135 1,053 $47K
80053 Comprehensive metabolic panel 3,868 3,539 $46K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 661 617 $39K
87070 3,107 3,021 $39K
85027 5,997 5,395 $27K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 757 691 $20K
J7030 Infusion, normal saline solution , 1000 cc 1,437 1,305 $12K
81001 3,423 3,215 $10K
76801 61 52 $6K
81025 762 718 $6K
71046 Radiologic examination, chest; 2 views 100 99 $5K
84484 574 432 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 41 40 $4K
83690 1,067 989 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 768 593 $3K
36415 Collection of venous blood by venipuncture 1,221 1,089 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12 12 $2K
87420 131 124 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 18 15 $2K
84702 135 113 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 307 261 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 15 12 $1K
87807 58 50 $920.55
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 115 90 $777.32
J1885 Injection, ketorolac tromethamine, per 15 mg 613 355 $720.00
81003 116 107 $710.10
70450 Computed tomography, head or brain; without contrast material 13 13 $652.21
80048 Basic metabolic panel (calcium, ionized) 92 84 $565.01
87086 Culture, bacterial; quantitative colony count, urine 26 26 $294.92
83880 45 38 $201.95
86901 76 70 $150.60
85610 116 107 $98.02
96375 Therapeutic injection; each additional sequential IV push 59 51 $9.39
J2270 Injection, morphine sulfate, up to 10 mg 26 12 $8.72
G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program 14 12 $0.00
A9270 Non-covered item or service 32 28 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 84 80 $0.00