Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › LEXINGTON › ROCKBRIDGE AREA FREE CLINIC

ROCKBRIDGE AREA FREE CLINIC

NPI: 1205267002 · LEXINGTON, VA 24450 · Federally Qualified Health Center (FQHC) · NPI assigned 12/03/2013

$5.28M
Total Medicaid Paid
223,413
Total Claims
193,784
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHERIDAN, VALERIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/03/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,465 $370K
2019 24,587 $668K
2020 21,291 $628K
2021 28,749 $773K
2022 35,609 $1.06M
2023 47,804 $1.11M
2024 51,908 $675K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,865 26,158 $1.67M
90834 Psychotherapy, 45 minutes with patient 9,337 5,037 $622K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,981 7,275 $600K
D1110 Prophylaxis - adult 6,538 6,409 $240K
D7140 Extraction, erupted tooth or exposed root 4,195 1,140 $194K
D1120 Prophylaxis - child 5,749 5,707 $165K
D0120 Periodic oral evaluation - established patient 9,759 9,629 $156K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,521 1,553 $155K
D0330 Panoramic radiographic image 4,108 3,430 $155K
D1206 Topical application of fluoride varnish 8,308 8,236 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,391 3,073 $131K
D0150 Comprehensive oral evaluation - new or established patient 4,333 3,703 $97K
D0140 Limited oral evaluation - problem focused 4,619 3,668 $74K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 3,856 2,983 $58K
D2391 Resin-based composite - one surface, posterior, primary or permanent 910 609 $57K
90832 Psychotherapy, 30 minutes with patient 1,108 695 $54K
D0274 Bitewings - four radiographic images 2,488 2,444 $53K
Q3014 Telehealth originating site facility fee 3,357 3,097 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 656 636 $52K
J1050 Injection, medroxyprogesterone acetate, 1 mg 558 547 $40K
3008F 25,462 23,069 $39K
D1351 Sealant - per tooth 1,359 405 $39K
3074F 5,533 5,068 $29K
96127 3,555 3,158 $28K
3078F 4,390 4,017 $23K
90686 1,922 1,801 $21K
99000 15,457 13,754 $20K
92552 818 767 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 282 269 $20K
D0220 Intraoral - periapical first radiographic image 2,989 2,285 $20K
80305 1,768 1,462 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 227 220 $17K
D0272 Bitewings - two radiographic images 1,016 1,016 $17K
87428 499 456 $16K
3079F 1,881 1,783 $13K
D0210 Intraoral - complete series of radiographic images 939 864 $13K
3037F 8,788 7,995 $10K
3028F 8,802 8,004 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 3,215 2,946 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 628 594 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 128 113 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 598 582 $7K
0012A 193 191 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 72 65 $6K
90670 257 250 $5K
90791 Psychiatric diagnostic evaluation 54 53 $5K
3725F 4,388 3,684 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 401 210 $5K
83036 Hemoglobin; glycosylated (A1C) 671 636 $5K
1000F 1,971 1,575 $5K
99215 Prolong outpt/office vis 38 37 $4K
90677 48 43 $4K
0011A 191 190 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 47 36 $4K
90461 1,668 1,499 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,137 1,080 $3K
3075F 417 399 $3K
0064A 84 82 $3K
90656 158 156 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 86 83 $2K
36415 Collection of venous blood by venipuncture 1,846 1,670 $2K
1036F 1,048 802 $2K
90651 52 51 $2K
90837 Psychotherapy, 53 minutes with patient 20 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 29 $2K
90723 82 77 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 153 151 $2K
90688 124 114 $1K
91320 14 14 $1K
99383 15 15 $1K
90633 99 93 $1K
90647 79 70 $1K
99406 112 103 $959.72
90680 28 26 $931.77
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41 39 $927.72
83655 101 97 $909.00
90619 24 24 $763.72
96110 Developmental screening, with scoring and documentation, per standardized instrument 87 77 $722.09
3077F 41 37 $650.00
0072A 13 13 $520.00
82947 172 160 $486.67
92551 46 44 $481.46
1034F 138 122 $425.00
81025 59 55 $401.39
3351F 1,258 1,135 $400.00
90480 17 17 $303.86
90715 24 23 $280.74
85018 126 125 $257.41
99188 12 12 $249.48
90734 12 12 $240.75
97802 267 223 $225.04
36416 731 707 $140.86
90710 12 12 $132.00
90648 12 12 $132.00
87210 28 26 $105.88
96161 88 79 $100.40
81000 45 40 $87.60
99408 12 12 $74.80
99173 13 13 $32.95
81003 16 14 $32.16
90472 Immunization administration, each additional vaccine (list separately) 33 33 $21.60
G0008 Administration of influenza virus vaccine 32 25 $6.52
3080F 14 13 $0.00
D2331 19 14 $0.00
D0230 Intraoral - periapical each additional radiographic image 16 13 $0.00
G9920 Screening performed and negative 426 403 $0.00