VIRUET IVELISSE MD INTERNAL MEDICINE LLC
NPI: 1073931648
· MANCHESTER, CT 06042
· Internal Medicine Physician
· NPI assigned 04/01/2014
$240K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,081 |
$28K |
| 2019 |
1,492 |
$37K |
| 2020 |
1,076 |
$35K |
| 2021 |
1,076 |
$36K |
| 2022 |
882 |
$32K |
| 2023 |
932 |
$33K |
| 2024 |
1,160 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,851 |
2,052 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,874 |
2,390 |
$116K |
| 93000 |
|
792 |
545 |
$5K |
| 82962 |
|
16 |
13 |
$11.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
166 |
135 |
$0.00 |