MOUNTAIN STATE VASCULAR, INC.
NPI: 1104318625
· BECKLEY, WV 25801
· Vascular Surgery Physician
· NPI assigned 05/31/2018
$185K
Total Medicaid Paid
Provider Details
| Authorized Official | WHYTE, BRIAN (OWNER) |
| NPI Enumeration Date | 05/31/2018 |
Related Entities
Other providers sharing the same authorized official: WHYTE, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
570 |
$19K |
| 2021 |
1,106 |
$51K |
| 2022 |
516 |
$32K |
| 2023 |
967 |
$63K |
| 2024 |
267 |
$20K |
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 |
1,031 |
928 |
$53K |
| 93970 |
|
345 |
320 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
245 |
$24K |
| 93925 |
|
190 |
182 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
455 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
597 |
143 |
$14K |
| 93923 |
|
153 |
147 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
98 |
86 |
$5K |
| 93922 |
|
96 |
93 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
78 |
$4K |
| 93880 |
|
27 |
26 |
$2K |
| 76937 |
|
17 |
14 |
$118.35 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$20.12 |