Medicaid Provider Spending

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

LONG TERM CARE OF TIDEWATER PC

NPI: 1033154430 · NORFOLK, VA 23502 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 06/19/2006

$478K
Total Medicaid Paid
54,830
Total Claims
30,924
Beneficiaries
17
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialWALTER, JAYNE (CREDENTIALING)
NPI Enumeration Date06/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,077 $153K
2019 24,753 $325K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 29,043 17,035 $266K
99308 Subsequent nursing facility care, per day, straightforward 21,786 11,368 $146K
99306 Prolong nursin fac eval 15m 1,161 803 $22K
99305 1,215 820 $17K
99223 Prolong inpt eval add15 m 135 93 $9K
99232 Subsequent hospital care, per day, moderate complexity 330 83 $8K
99307 742 475 $3K
90792 Psychiatric diagnostic evaluation with medical services 81 59 $3K
99233 Prolong inpt eval add15 m 66 13 $1K
99356 104 56 $988.07
99316 38 26 $548.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 20 17 $412.00
99304 21 13 $326.19
90791 Psychiatric diagnostic evaluation 20 13 $273.81
99358 Prolong nursin fac eval 15m 29 26 $153.12
99497 22 12 $29.00
99310 Prolong nursin fac eval 15m 17 12 $0.00