Medicaid Provider Spending

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

LIBERTY DOCTORS LLC

NPI: 1144299470 · MONCKS CORNER, SC 29461 · Internal Medicine Physician · NPI assigned 03/17/2006

$59K
Total Medicaid Paid
2,446
Total Claims
2,116
Beneficiaries
12
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialDEVER, CHELSEY (CREDENTIALING COORDINATOR)
NPI Enumeration Date03/17/2006

Related Entities

Other providers sharing the same authorized official: DEVER, CHELSEY

ProviderCityStateTotal Paid
SKYLINE MEDICAL PRACTICE LLC FRONT ROYAL VA $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,446 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 784 674 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 173 150 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 366 328 $2K
81003 383 337 $708.30
80053 Comprehensive metabolic panel 99 84 $644.30
93922 14 12 $595.35
80061 Lipid panel 83 69 $523.62
36415 Collection of venous blood by venipuncture 280 249 $480.82
82948 177 153 $437.49
83036 Hemoglobin; glycosylated (A1C) 42 36 $222.49
95117 31 12 $216.98
93000 14 12 $117.70