Medicaid Provider Spending

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

PRIVIA MEDICAL GROUP OF GEORGIA LLC

NPI: 1013313857 · FAYETTEVILLE, GA 30214 · Family Medicine Physician · NPI assigned 11/05/2014

$47K
Total Medicaid Paid
1,275
Total Claims
1,027
Beneficiaries
16
Codes Billed
2022-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWOOD, JEANNETTE (VP REVENUE CYCLE MANAGER)
NPI Enumeration Date11/05/2014

Related Entities

Other providers sharing the same authorized official: WOOD, JEANNETTE

ProviderCityStateTotal Paid
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 495 $26K
2023 752 $21K
2024 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 446 376 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 150 135 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 56 55 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $2K
85018 134 132 $285.55
96127 27 27 $170.64
96160 14 14 $113.96
36415 Collection of venous blood by venipuncture 29 29 $77.63
81002 20 20 $57.45
92551 62 62 $22.83
3008F 38 24 $0.00
1036F 29 14 $0.00
3074F 42 24 $0.00
1159F 91 43 $0.00
1160F 91 43 $0.00
3078F 30 13 $0.00