Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINE CHRISTIAN HEALTH CENTER

NPI: 1215128590 · RUTHER GLEN, VA 22546 · Pediatrics Physician · NPI assigned 08/05/2007

$53K
Total Medicaid Paid
1,183
Total Claims
1,127
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialGRAHAM, BRANDI (OFFICE MANAGER)
NPI Enumeration Date08/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,183 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 306 277 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 146 136 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 144 139 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 99 97 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 118 115 $4K
90670 87 85 $1K
99381 13 12 $892.21
90723 73 71 $849.46
90648 61 61 $663.25
90681 38 36 $554.14
90685 31 31 $356.66
96110 Developmental screening, with scoring and documentation, per standardized instrument 27 27 $220.29
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $195.42
92551 14 14 $123.06
99173 12 12 $29.88