CLINICA FAMILIAR DE ARLINGTON PC
NPI: 1104008820
· ARLINGTON, VA 22205
· 261QP2300X
$538K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,428 |
$27K |
| 2019 |
3,801 |
$47K |
| 2020 |
3,973 |
$63K |
| 2021 |
4,605 |
$93K |
| 2022 |
4,339 |
$117K |
| 2023 |
3,478 |
$105K |
| 2024 |
3,051 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,880 |
6,940 |
$291K |
| 99214 |
|
3,569 |
2,731 |
$149K |
| 99396 |
|
567 |
461 |
$37K |
| 99490 |
Ccm add 20min |
4,797 |
3,656 |
$15K |
| 99211 |
|
795 |
617 |
$6K |
| 90686 |
|
533 |
406 |
$6K |
| 96372 |
|
844 |
616 |
$5K |
| 0003A |
|
204 |
153 |
$4K |
| 99395 |
|
60 |
55 |
$4K |
| 99439 |
|
1,423 |
1,270 |
$4K |
| 0124A |
|
83 |
77 |
$2K |
| 90471 |
|
1,343 |
899 |
$2K |
| 90682 |
|
53 |
34 |
$2K |
| 0001A |
|
49 |
48 |
$2K |
| 90662 |
|
309 |
237 |
$2K |
| 0002A |
|
53 |
46 |
$1K |
| 99203 |
|
18 |
15 |
$1K |
| 99393 |
|
15 |
12 |
$924.60 |
| 90734 |
|
19 |
14 |
$874.62 |
| G0438 |
Ppps, initial visit |
75 |
48 |
$519.08 |
| 87804 |
|
129 |
30 |
$424.66 |
| 0013A |
|
21 |
17 |
$320.00 |
| 0004A |
|
22 |
17 |
$304.21 |
| G0506 |
Comp asses care plan ccm svc |
49 |
33 |
$286.34 |
| 90756 |
|
33 |
14 |
$266.60 |
| 99487 |
Ccm add 20min |
63 |
38 |
$168.32 |
| G0008 |
Admin influenza virus vac |
287 |
217 |
$165.71 |
| 99484 |
|
89 |
87 |
$159.25 |
| 82607 |
|
46 |
39 |
$150.80 |
| 93000 |
|
26 |
14 |
$112.40 |
| J3420 |
Vitamin b12 injection |
60 |
49 |
$42.15 |
| 92552 |
|
37 |
24 |
$41.50 |
| 91300 |
|
490 |
382 |
$23.56 |
| 81002 |
|
32 |
28 |
$17.76 |
| 91301 |
|
53 |
42 |
$0.06 |
| G8427 |
Docrev cur meds by elig clin |
309 |
198 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
83 |
73 |
$0.00 |
| G8482 |
Flu immunize order/admin |
34 |
25 |
$0.00 |
| 91312 |
|
60 |
57 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
29 |
27 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
15 |
13 |
$0.00 |
| 1111F |
|
19 |
12 |
$0.00 |