Modern Vascular of Southaven, LLC
Modern Vascular of Southaven, LLC was paid $85K by Medicaid between Aug 2020 and Mar 2023, across 14 billing codes. Its largest line is 37229, — 61% of everything it billed.
33Billing provider infoMODERN VASCULAR OF SOUTHAVEN, LLC
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1174171441assigned 08/29/2019
33bProvider typeVascular-Interventional Technology Radiologic Technologist
28Total paid$85K
24GClaims2,342
24DCodes billed14
24AFirst – last monthAug 2020 – Mar 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 930 | $40K | |
| 2021 | 980 | $32K | |
| 2022 | 415 | $14K | |
| 2023 | 17 | $307.63 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 37229 | 61% | 86 | 60 | $52K | |
| 37252 | 18% | 248 | 168 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 476 | 369 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 4.2% | 103 | 61 | $4K |
| 37253 | 3.3% | 232 | 156 | $3K | |
| 75710 | 1.7% | 163 | 113 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 108 | 89 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 45 | 20 | $1K |
| 37232 | <1% | 43 | 29 | $737.09 | |
| 76937 | <1% | 283 | 191 | $491.22 | |
| 75774 | <1% | 74 | 49 | $387.01 | |
| 99152 | <1% | 123 | 80 | $96.33 |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGAMPEL, YURY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Modern Vascular of Glendale, LLC | Glendale, AZ | $780K |
| Modern Vascular - Navajo LLC | Albuquerque, NM | $248K |
| Modern Vascular of Denver, LLC | Thornton, CO | $44K |
| Pain Management & Rehabilitation Medicine Center PC | Mesa, AZ | $17K |
| Modern Vascular of ST Louis LLC | Creve Coeur, MO | $17K |
| San Antonio Vascular Specialists Corp | San Antonio, TX | $8K |
| Modern Vascular of Sun City, LLC | Surprise, AZ | $5K |
| Modern Vascular of Tucson, LLC | Tucson, AZ | $4K |
| Indianapolis Vascular Specialists Corp | Indianapolis, IN | $282.71 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.