Medicaid Provider Spending

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

OLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC

NPI: 1073564951 · MANASSAS, VA 20110 · Orthopaedic Surgery Physician · NPI assigned 05/15/2006

$191K
Total Medicaid Paid
4,373
Total Claims
3,547
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialGANTT, EVELYN (BILLING MANAGER)
NPI Enumeration Date05/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 242 $8K
2019 849 $39K
2020 742 $38K
2021 1,135 $42K
2022 1,146 $50K
2023 259 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,789 1,578 $106K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,293 1,796 $81K
20610 137 77 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33 13 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 26 12 $623.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 95 71 $270.20