COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1154428605
· LEESBURG, VA 20176
· Public Health or Welfare Agency
· NPI assigned 09/19/2006
$156K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,741 |
$26K |
| 2019 |
1,609 |
$24K |
| 2020 |
658 |
$12K |
| 2021 |
1,510 |
$30K |
| 2022 |
2,051 |
$37K |
| 2023 |
1,239 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,423 |
3,356 |
$56K |
| 90651 |
|
813 |
808 |
$29K |
| 90715 |
|
741 |
741 |
$18K |
| 90686 |
|
979 |
963 |
$12K |
| 90633 |
|
697 |
690 |
$9K |
| 90619 |
|
352 |
349 |
$6K |
| 90620 |
|
166 |
165 |
$6K |
| 90734 |
|
139 |
138 |
$5K |
| 90713 |
|
277 |
277 |
$4K |
| 90716 |
|
133 |
133 |
$3K |
| 90744 |
|
163 |
160 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
439 |
436 |
$2K |
| 90670 |
|
139 |
138 |
$2K |
| 90707 |
|
40 |
40 |
$1K |
| 81025 |
|
152 |
149 |
$745.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$669.03 |
| 86580 |
|
47 |
47 |
$324.17 |
| 90648 |
|
26 |
26 |
$311.28 |
| 90710 |
|
24 |
24 |
$264.00 |
| 90680 |
|
12 |
12 |
$207.00 |
| 90723 |
|
13 |
13 |
$154.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
20 |
$37.44 |