Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › BLUEFIELD › ICP WEST VIRGINIA LLC

ICP WEST VIRGINIA LLC

NPI: 1134698798 · BLUEFIELD, WV 24701 · Emergency Medicine Physician · NPI assigned 11/13/2018

$1.39M
Total Medicaid Paid
9,926
Total Claims
8,856
Beneficiaries
4
Codes Billed
2019-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialJACKSON, MATTHEW (AUTHORIZED OFFICIAL)
NPI Enumeration Date11/13/2018

Related Entities

Other providers sharing the same authorized official: JACKSON, MATTHEW

ProviderCityStateTotal Paid
INTEGRATEDEM1 LLC OCALA FL $3.02M
INTEGRATED CARE-ALABAMA LLC MONTGOMERY AL $1.11M
VILLAGE OF MEDINA MEDINA NY $952K
INTEGRATED WV LLC BLUEFIELD WV $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,893 $707K
2020 4,033 $686K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 5,008 4,364 $779K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,528 1,377 $378K
99283 Emergency department visit for the evaluation and management, moderate severity 3,160 2,937 $231K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 230 178 $6K