Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › ROANOKE › KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.

KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.

NPI: 1205815420 · ROANOKE, VA 24017 · Federally Qualified Health Center (FQHC) · NPI assigned 01/16/2006

$5.04M
Total Medicaid Paid
143,532
Total Claims
126,982
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEWART, JONATHAN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/16/2006

Related Entities

Other providers sharing the same authorized official: STEWART, JONATHAN

ProviderCityStateTotal Paid
KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC. ROANOKE VA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,733 $363K
2019 17,525 $619K
2020 16,165 $573K
2021 20,619 $773K
2022 22,571 $912K
2023 30,450 $1.02M
2024 22,469 $786K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,054 29,038 $1.68M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,395 17,577 $1.35M
90834 Psychotherapy, 45 minutes with patient 4,833 3,153 $349K
D1120 Prophylaxis - child 5,345 5,285 $133K
G9012 Other specified case management service not elsewhere classified 599 580 $123K
D1206 Topical application of fluoride varnish 7,975 7,886 $121K
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 8,107 6,371 $93K
90837 Psychotherapy, 53 minutes with patient 937 610 $87K
D1110 Prophylaxis - adult 2,268 2,228 $73K
D0120 Periodic oral evaluation - established patient 3,992 3,936 $69K
D0150 Comprehensive oral evaluation - new or established patient 3,096 3,014 $60K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,137 838 $58K
90792 Psychiatric diagnostic evaluation with medical services 282 274 $57K
D7140 Extraction, erupted tooth or exposed root 1,121 674 $57K
90832 Psychotherapy, 30 minutes with patient 952 804 $56K
D1351 Sealant - per tooth 2,150 817 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 593 579 $46K
D2391 Resin-based composite - one surface, posterior, primary or permanent 836 576 $39K
90686 3,084 2,972 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 446 436 $36K
D0330 Panoramic radiographic image 1,008 990 $36K
D2930 Prefabricated stainless steel crown - primary tooth 290 219 $35K
87428 1,043 987 $33K
D0140 Limited oral evaluation - problem focused 2,125 1,919 $31K
83036 Hemoglobin; glycosylated (A1C) 4,602 4,324 $31K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,207 1,128 $24K
D0220 Intraoral - periapical first radiographic image 2,528 2,256 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 254 248 $20K
H0005 Alcohol and/or drug services; group counseling by a clinician 808 450 $19K
99215 Prolong outpt/office vis 234 223 $18K
80305 1,284 938 $15K
90651 260 259 $14K
D0272 Bitewings - two radiographic images 965 950 $14K
D0274 Bitewings - four radiographic images 679 668 $14K
D0210 Intraoral - complete series of radiographic images 1,145 898 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 4,599 4,444 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 908 770 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 766 726 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,866 1,797 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 924 886 $8K
36415 Collection of venous blood by venipuncture 3,332 3,098 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 152 144 $6K
D0240 671 354 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 272 252 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 65 $5K
D1354 564 155 $5K
90734 121 119 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 55 54 $4K
90656 186 186 $3K
97802 57 42 $3K
90620 32 32 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 36 $3K
96127 518 488 $3K
90461 816 789 $2K
D0145 Oral evaluation for a patient under three years of age 252 252 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25 24 $2K
99177 421 418 $2K
90670 73 72 $1K
92551 145 144 $1K
82947 587 547 $1K
99383 15 15 $1K
D0230 Intraoral - periapical each additional radiographic image 101 61 $1K
91322 13 13 $1K
97803 76 38 $1K
90791 Psychiatric diagnostic evaluation 14 13 $1K
80061 Lipid panel 83 82 $1K
D9630 59 58 $1K
87807 79 75 $987.88
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 84 81 $946.65
0012A 26 25 $840.00
36416 4,928 4,679 $826.78
90633 55 55 $732.83
90715 45 45 $673.40
81003 279 249 $484.62
99000 678 640 $445.64
0064A 12 12 $440.00
83655 34 33 $422.13
90698 30 29 $410.30
D0270 34 34 $406.84
99173 180 177 $388.34
G0008 Administration of influenza virus vaccine 341 303 $334.48
D3120 17 12 $276.97
81025 42 39 $213.89
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 12 12 $165.05
90694 25 25 $124.31
85018 51 50 $123.41
2028F 41 39 $75.00
J1885 Injection, ketorolac tromethamine, per 15 mg 18 13 $32.14
91301 66 64 $0.11
91306 12 12 $0.00