FAIRFAX COUNTY, VIRGINIA
NPI: 1174558266
· FAIRFAX, VA 22035
· Multi-Specialty Clinic/Center
· NPI assigned 07/11/2006
$55.65M
Total Medicaid Paid
Provider Details
| Authorized Official | WASHINGTON, DARYL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/11/2006 |
Related Entities
Other providers sharing the same authorized official: WASHINGTON, DARYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,923 |
$6.34M |
| 2019 |
22,578 |
$6.62M |
| 2020 |
24,049 |
$7.08M |
| 2021 |
24,329 |
$7.82M |
| 2022 |
24,289 |
$8.75M |
| 2023 |
25,852 |
$9.88M |
| 2024 |
24,084 |
$9.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
90,657 |
89,668 |
$31.25M |
| H2022 |
Community-based wrap-around services, per diem |
53,733 |
1,829 |
$16.81M |
| T2023 |
Targeted case management; per month |
24,472 |
24,230 |
$7.53M |
| T2024 |
Service assessment/plan of care development, waiver |
93 |
91 |
$32K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
15 |
14 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
123 |
$1K |