Medicaid Provider Spending

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

SAINT CLAIR SHORES PROMPT CARE PLLC

NPI: 1891098174 · SAINT CLAIR SHORES, MI 48081 · Urgent Care Clinic/Center · NPI assigned 12/08/2010

$9K
Total Medicaid Paid
144
Total Claims
127
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialTANGALOS, THEODORE (OWNER)
NPI Enumeration Date12/08/2010

Related Entities

Other providers sharing the same authorized official: TANGALOS, THEODORE

ProviderCityStateTotal Paid
SILVER PINE MEDICAL GROUP PLC STERLING HEIGHTS MI $94K
STONY CREEK URGENT CARE PLLC SHELBY TOWNSHIP MI $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $8K
2019 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99058 104 90 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 37 $3K