Medicaid Provider Spending

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

APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC

NPI: 1003380759 · COEBURN, VA 24230 · Pulmonary Disease Physician · NPI assigned 01/16/2019

$522K
Total Medicaid Paid
17,832
Total Claims
14,555
Beneficiaries
30
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILL, PAULA (CLINICAL DIRECTOR)
NPI Enumeration Date01/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 69 $826.20
2020 3,226 $44K
2021 5,454 $137K
2022 4,032 $125K
2023 2,269 $113K
2024 2,782 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,442 3,628 $196K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,673 1,476 $116K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,023 1,748 $54K
90832 Psychotherapy, 30 minutes with patient 710 528 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 284 257 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 552 424 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 326 308 $15K
90834 Psychotherapy, 45 minutes with patient 225 150 $14K
90792 Psychiatric diagnostic evaluation with medical services 52 51 $8K
80305 655 520 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 202 184 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 446 396 $5K
99408 390 246 $4K
36415 Collection of venous blood by venipuncture 1,727 1,380 $2K
96127 759 544 $2K
99000 1,804 1,483 $2K
98960 255 240 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 106 102 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 48 45 $1K
99406 205 110 $842.94
86328 24 23 $587.99
90686 50 40 $558.31
94760 641 496 $327.73
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $182.95
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 14 $166.88
36410 19 15 $130.89
G0442 Annual alcohol misuse screening, 5 to 15 minutes 67 46 $58.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 24 $57.16
83037 14 12 $36.40
G0444 Annual depression screening, 5 to 15 minutes 75 50 $31.50