COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1104879568
· FINCASTLE, VA 24090
· Public Health or Welfare Agency
· NPI assigned 05/18/2006
$218K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PENN-TIMITY, VIVIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
437 |
$30K |
| 2019 |
545 |
$39K |
| 2020 |
443 |
$40K |
| 2021 |
442 |
$32K |
| 2022 |
406 |
$27K |
| 2023 |
455 |
$31K |
| 2024 |
270 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9002 |
Coordinated care fee, maintenance rate |
1,853 |
1,784 |
$204K |
| S0215 |
Non-emergency transportation; mileage, per mile |
875 |
853 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
123 |
$2K |
| 90686 |
|
81 |
78 |
$1K |
| 90619 |
|
49 |
49 |
$726.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$43.29 |