Medicaid Provider Spending

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

CODMAN SQUARE HEALTH CENTER, INC

NPI: 1922599117 · DORCHESTER, MA 02124 · Urgent Care Clinic/Center · NPI assigned 05/23/2018

$8.55M
Total Medicaid Paid
127,578
Total Claims
122,808
Beneficiaries
46
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEAVER, TARSHA (CHIEF OPERATING OFFICER)
Parent OrganizationCODMAN SQUARE HEALTH CENTER
NPI Enumeration Date05/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,682 $347K
2019 24,673 $1.81M
2020 16,518 $1.28M
2021 19,176 $1.51M
2022 25,591 $2.21M
2023 20,981 $884K
2024 15,957 $515K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,269 53,563 $5.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,221 23,410 $2.56M
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 1,801 1,731 $135K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 803 800 $118K
99050 6,339 6,220 $96K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 994 913 $94K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,464 2,384 $74K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,438 2,358 $73K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,017 959 $57K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,799 1,729 $45K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,849 1,778 $43K
99215 Prolong outpt/office vis 357 355 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 201 200 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,023 2,002 $25K
81025 2,492 2,412 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 377 377 $16K
87210 3,312 3,181 $15K
87220 3,273 3,145 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 507 504 $11K
99051 2,514 2,497 $10K
86485 327 323 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 879 874 $7K
80053 Comprehensive metabolic panel 629 625 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,487 1,455 $6K
81003 2,591 2,535 $5K
86780 376 375 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,299 2,247 $3K
90658 106 106 $3K
81001 943 931 $3K
86803 211 211 $3K
82962 1,025 981 $3K
T1015 Clinic visit/encounter, all-inclusive 235 235 $1K
84443 Thyroid stimulating hormone (TSH) 77 77 $1K
82948 239 233 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 552 534 $587.54
83036 Hemoglobin; glycosylated (A1C) 63 63 $560.55
J0696 Injection, ceftriaxone sodium, per 250 mg 162 158 $364.93
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $84.74
80048 Basic metabolic panel (calcium, ionized) 12 12 $81.69
J8499 Prescription drug, oral, non chemotherapeutic, nos 26 26 $1.98
A9150 Non-prescription drugs 123 123 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
71046 Radiologic examination, chest; 2 views 87 87 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 13 13 $0.00