Medicaid Provider Spending

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

NITEOWL PEDIATRIC URGENT CARE LLC

NPI: 1881353423 · NORTH AUGUSTA, SC 29841 · Pediatrics Physician · NPI assigned 12/10/2021

$280K
Total Medicaid Paid
5,470
Total Claims
5,147
Beneficiaries
12
Codes Billed
2022-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEOPARD, CARLEE (OWNER)
NPI Enumeration Date12/10/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 640 $24K
2023 2,830 $143K
2024 2,000 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,211 1,142 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 892 881 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,163 1,077 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 551 538 $51K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 261 226 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 530 518 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 619 597 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 33 33 $1K
87400 152 81 $1K
99215 Prolong outpt/office vis 13 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 17 $820.96
99051 28 24 $86.40