WABASH VALLEY INFECTIOUS DISEASES CLINIC LLC
NPI: 1093953234
· TERRE HAUTE, IN 47802
· 261QM2500X
$1.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,978 |
$113K |
| 2019 |
15,121 |
$299K |
| 2020 |
7,834 |
$164K |
| 2021 |
8,705 |
$242K |
| 2022 |
7,655 |
$205K |
| 2023 |
9,125 |
$329K |
| 2024 |
5,745 |
$255K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
|
19,825 |
4,464 |
$580K |
| 99213 |
|
11,770 |
7,779 |
$394K |
| 99222 |
|
3,281 |
2,785 |
$194K |
| A4222 |
Infusion supplies with pump |
3,537 |
122 |
$118K |
| 99214 |
|
3,078 |
2,112 |
$106K |
| A4305 |
Drug delivery system >=50 ml |
3,579 |
124 |
$79K |
| 99309 |
|
4,074 |
3,580 |
$47K |
| 99221 |
|
753 |
651 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
822 |
746 |
$25K |
| 99203 |
|
196 |
181 |
$14K |
| 99305 |
|
357 |
298 |
$9K |
| 99231 |
|
236 |
120 |
$4K |
| 99204 |
|
17 |
14 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
55 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
89 |
69 |
$2K |
| 29581 |
|
94 |
37 |
$1K |
| J7030 |
Normal saline solution infus |
441 |
79 |
$814.41 |
| 99308 |
|
21 |
15 |
$734.52 |
| 99318 |
|
36 |
34 |
$17.01 |
| 1036F |
|
1,322 |
764 |
$0.00 |
| 1111F |
|
1,175 |
662 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
137 |
81 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,283 |
1,300 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,616 |
899 |
$0.00 |
| 4004F |
|
339 |
214 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
30 |
14 |
$0.00 |