VANGUARD MEDICAL GROUP, PA

$755K

Total Medicaid Paid

18,856

Total Claims

17,264

Beneficiaries

23

Codes Billed

2018-01

First Month

2023-10

Last Month

Authorized Official	SCALES, RONISHA (CREDENTIALING SPECIALIST)
NPI Enumeration Date	12/12/2006

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9,576	8,634	$385K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	6,070	5,544	$318K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	447	376	$17K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	595	591	$7K
90688		304	304	$5K
0012A		128	128	$4K
90682		70	70	$3K
0011A		109	109	$3K
0064A		83	83	$2K
0001A		55	55	$2K
0002A		55	55	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	37	32	$983.89
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	19	19	$943.11
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	102	100	$887.45
99349		88	76	$817.88
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	13	13	$696.17
81003		996	969	$684.95
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	12	$495.35
0003A		12	12	$400.00
90460	Immunization administration through 18 years of age via any route, first or only component	33	31	$383.18
93000		12	12	$174.35
36415	Collection of venous blood by venipuncture	26	26	$57.80
85018		13	13	$11.86

Medicaid Provider Spending