Medicaid Provider Spending

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

MY DOCTOR IMMEDIATE CARE LLC

NPI: 1992440622 · TULSA, OK 74133 · Urgent Care Clinic/Center · NPI assigned 04/27/2022

$204K
Total Medicaid Paid
2,692
Total Claims
2,646
Beneficiary Records
7
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTACY, STANLEY (OWNER)
NPI Enumeration Date04/27/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 618 $45K
2023 1,444 $109K
2024 630 $50K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 349 349 $50K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 601 577 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 472 472 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 359 350 $37K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 453 446 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 326 321 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 132 131 $2K