Medicaid Provider Spending

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

VIRGINIA DEPARTMENT OF HEALTH

NPI: 1083675474 · CLINTWOOD, VA 24228 · Multi-Specialty Clinic/Center · NPI assigned 03/28/2006

$34K
Total Medicaid Paid
2,313
Total Claims
2,216
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWILLIS, JOHNNY (BUSINESS MANAGER)
NPI Enumeration Date03/28/2006

Related Entities

Other providers sharing the same authorized official: WILLIS, JOHNNY

ProviderCityStateTotal Paid
VIRGINIA DEPARTMENT OF HEALTH TAZEWELL VA $92K
VIRGINIA DEPARTMENT OF HEALTH GRUNDY VA $55K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 506 $7K
2019 438 $6K
2020 282 $4K
2021 383 $6K
2022 266 $4K
2023 265 $4K
2024 173 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,353 1,289 $21K
90686 597 583 $7K
99188 109 104 $2K
90651 33 31 $1K
90715 44 42 $793.56
90734 60 58 $624.91
90656 45 45 $502.62
81025 29 25 $172.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 27 $95.26
99000 12 12 $11.58