Medicaid Provider Spending

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

VICTA LLC

NPI: 1104317007 · PROVIDENCE, RI 02907 · Infectious Disease Physician · NPI assigned 05/25/2018

$3.73M
Total Medicaid Paid
39,189
Total Claims
15,017
Beneficiaries
18
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDONOYAN, ALEXANDER (CEO)
NPI Enumeration Date05/25/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,482 $158K
2020 4,006 $279K
2021 8,359 $642K
2022 6,101 $507K
2023 9,555 $1.14M
2024 8,686 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0033 Oral medication administration, direct observation 13,368 3,099 $1.64M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 12,242 3,022 $1.01M
H0004 Behavioral health counseling and therapy, per 15 minutes 4,705 2,870 $281K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,376 2,518 $199K
90834 Psychotherapy, 45 minutes with patient 2,523 1,531 $193K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 745 744 $169K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 981 143 $164K
H0001 Alcohol and/or drug assessment 357 351 $51K
99215 Prolong outpt/office vis 134 105 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 186 142 $8K
90837 Psychotherapy, 53 minutes with patient 35 16 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37 37 $2K
80305 392 337 $1K
99401 42 38 $691.32
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 12 $273.19
93000 15 15 $204.83
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 25 25 $0.00
H0006 Alcohol and/or drug services; case management 12 12 $0.00