Medicaid Provider Spending

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

SEDALIA URGENT CARE LLC

NPI: 1922548841 · SEDALIA, MO 65301 · Urgent Care Clinic/Center · NPI assigned 02/24/2017

$1.24M
Total Medicaid Paid
26,477
Total Claims
22,266
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUEVARA, JORGE (OWNER)
NPI Enumeration Date02/24/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 210 $5K
2019 635 $13K
2020 1,850 $53K
2021 3,944 $123K
2022 5,480 $257K
2023 7,399 $360K
2024 6,959 $430K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,414 6,194 $365K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,836 4,084 $321K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,153 3,353 $229K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,311 1,096 $124K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,501 1,313 $93K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,925 3,455 $42K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,330 1,159 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 610 516 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 263 158 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 119 102 $2K
71046 Radiologic examination, chest; 2 views 107 93 $2K
87807 122 102 $987.47
87634 17 15 $730.08
81003 379 309 $452.18
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $145.65
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 27 $42.62
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 30 24 $0.00
99000 293 238 $0.00
36415 Collection of venous blood by venipuncture 15 15 $0.00