Medicaid Provider Spending

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

ITI CHITO ENTERPRISES INC

NPI: 1912679549 · DE QUEEN, AR 71832 · Urgent Care Clinic/Center · NPI assigned 10/01/2021

$11K
Total Medicaid Paid
700
Total Claims
542
Beneficiaries
10
Codes Billed
2021-11
First Month
2022-03
Last Month

Provider Details

Authorized OfficialGRIFFIN, RUSTY (OWNER)
NPI Enumeration Date10/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 68 $207.21
2022 632 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 44 40 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 95 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 122 94 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61 57 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45 32 $881.91
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 19 12 $564.63
Q3014 Telehealth originating site facility fee 231 175 $293.65
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 43 13 $199.20
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 12 $45.23
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 12 12 $22.40