IRVINGTON PRIMARY CARE LLC
NPI: 1134563836
· IRVINGTON, NJ 07111
· 261Q00000X
$468K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,564 |
$85K |
| 2019 |
1,556 |
$81K |
| 2020 |
1,429 |
$62K |
| 2021 |
1,702 |
$69K |
| 2022 |
8,327 |
$64K |
| 2023 |
12,522 |
$63K |
| 2024 |
10,048 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
8,417 |
8,118 |
$378K |
| 99396 |
|
623 |
608 |
$48K |
| 99213 |
|
521 |
509 |
$20K |
| 99395 |
|
160 |
160 |
$13K |
| G0438 |
Ppps, initial visit |
267 |
252 |
$4K |
| 99204 |
|
40 |
39 |
$3K |
| G0439 |
Ppps, subseq visit |
227 |
224 |
$934.10 |
| 99423 |
|
29 |
28 |
$510.48 |
| 99497 |
|
86 |
84 |
$403.98 |
| 93000 |
|
29 |
29 |
$366.55 |
| 90686 |
|
61 |
61 |
$293.32 |
| 99422 |
|
22 |
22 |
$255.82 |
| 90471 |
|
27 |
27 |
$163.80 |
| 83036 |
|
180 |
147 |
$100.63 |
| 90688 |
|
15 |
15 |
$86.15 |
| 90656 |
|
18 |
15 |
$73.07 |
| 1111F |
|
3,771 |
3,660 |
$48.00 |
| 3074F |
|
1,611 |
1,566 |
$28.03 |
| G0008 |
Admin influenza virus vac |
29 |
27 |
$14.92 |
| 2022F |
|
28 |
26 |
$2.00 |
| 3044F |
|
28 |
26 |
$2.00 |
| 3061F |
|
29 |
27 |
$2.00 |
| 3288F |
|
2,796 |
2,716 |
$0.00 |
| G8752 |
Sys bp less 140 |
3,393 |
3,309 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
1,388 |
1,354 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
1,230 |
1,191 |
$0.00 |
| 4013F |
|
1,923 |
1,867 |
$0.00 |
| G8482 |
Flu immunize order/admin |
35 |
31 |
$0.00 |
| 3014F |
|
947 |
910 |
$0.00 |
| G8754 |
Dias bp less 90 |
3,314 |
3,230 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
3,335 |
3,251 |
$0.00 |
| 3017F |
|
215 |
205 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
2,354 |
2,307 |
$0.00 |