Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › COURTLAND › COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI: 1053386979 · COURTLAND, VA 23837 · State or Local Public Health Clinic/Center · NPI assigned 02/22/2006

$69K
Total Medicaid Paid
1,190
Total Claims
1,132
Beneficiaries
11
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTILLERY, ANGELA (BUSINESS MANAGER)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: TILLERY, ANGELA

ProviderCityStateTotal Paid
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH SUFFOLK VA $389K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH FRANKLIN VA $83K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH SMITHFIELD VA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 84 $4K
2019 243 $17K
2020 171 $17K
2021 70 $5K
2022 82 $999.40
2023 384 $17K
2024 156 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9002 Coordinated care fee, maintenance rate 475 463 $56K
S0215 Non-emergency transportation; mileage, per mile 167 164 $6K
99211 271 247 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 52 52 $903.00
90619 59 58 $763.00
96372 25 25 $481.53
81025 42 36 $262.80
90734 14 12 $143.55
90715 13 13 $143.00
99000 56 50 $73.16
36415 16 12 $21.48