Medicaid Provider Spending

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

AUGUSTA MEDICAL GROUP

NPI: 1245489590 · FISHERSVILLE, VA 22939 · General Practice Physician · NPI assigned 09/11/2008

$12.60M
Total Medicaid Paid
311,981
Total Claims
265,292
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANNIX, MARY (FACHE)
Parent OrganizationAUGUSTA HEALTH CARE, INC
NPI Enumeration Date09/11/2008

Related Entities

Other providers sharing the same authorized official: MANNIX, MARY

ProviderCityStateTotal Paid
AUGUSTA HEALTH CARE, INC FISHERSVILLE VA $63.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,638 $427K
2019 43,792 $1.44M
2020 39,747 $1.50M
2021 48,235 $1.82M
2022 51,801 $2.15M
2023 57,561 $2.69M
2024 51,207 $2.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 106,674 95,601 $4.87M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75,782 67,914 $4.36M
90834 Psychotherapy, 45 minutes with patient 7,318 5,180 $473K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,217 4,947 $355K
99232 Subsequent hospital care, per day, moderate complexity 13,021 4,002 $348K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,203 2,078 $197K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,469 6,216 $190K
99223 Prolong inpt eval add15 m 2,145 1,937 $187K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,648 2,476 $160K
99233 Prolong inpt eval add15 m 3,377 1,407 $129K
77067 Screening mammography, bilateral, including computer-aided detection 3,501 3,400 $111K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 971 886 $92K
99239 Hospital discharge day management, more than 30 minutes 1,973 1,814 $91K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,126 2,046 $87K
77063 Screening digital breast tomosynthesis, bilateral 3,176 3,101 $75K
71045 Radiologic examination, chest; single view 13,761 12,121 $71K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,719 4,367 $59K
70450 Computed tomography, head or brain; without contrast material 2,355 2,179 $55K
99308 Subsequent nursing facility care, per day, straightforward 6,383 3,577 $42K
99215 Prolong outpt/office vis 479 409 $38K
71046 Radiologic examination, chest; 2 views 4,230 3,893 $32K
99238 Hospital discharge day management, 30 minutes or less 812 735 $32K
90837 Psychotherapy, 53 minutes with patient 225 115 $26K
59025 Fetal non-stress test 654 478 $26K
99222 Initial hospital care, per day, moderate complexity 471 401 $25K
76830 Ultrasound, transvaginal 222 214 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,426 505 $24K
90686 1,645 1,552 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 284 249 $19K
95886 308 296 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 322 314 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 124 121 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material 279 268 $15K
90832 Psychotherapy, 30 minutes with patient 454 359 $15K
76642 573 535 $14K
99442 385 356 $13K
76801 120 107 $13K
93000 1,458 1,341 $12K
87430 1,015 967 $12K
92504 599 540 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited 628 602 $12K
90792 Psychiatric diagnostic evaluation with medical services 85 80 $12K
99306 Prolong nursin fac eval 15m 689 484 $12K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 60 55 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 777 719 $10K
99459 711 665 $10K
90791 Psychiatric diagnostic evaluation 98 88 $9K
99460 142 127 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 30 29 $7K
90853 Group psychotherapy (other than of a multiple-family group) 395 170 $7K
62323 116 114 $7K
99349 211 177 $6K
74018 972 866 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 70 66 $6K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 49 48 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,144 1,089 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 25 24 $5K
77065 Tomosynthesis, mammo 145 129 $4K
87081 662 630 $4K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 19 19 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 41 38 $3K
99307 1,003 558 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 140 71 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 538 492 $3K
99305 197 125 $3K
71275 Computed tomographic angiography, chest, with contrast material 53 50 $3K
36415 Collection of venous blood by venipuncture 1,339 1,211 $2K
99462 82 64 $2K
83036 Hemoglobin; glycosylated (A1C) 376 346 $2K
76775 140 134 $2K
77066 Tomosynthesis, mammo 78 70 $2K
87400 256 185 $2K
95251 110 101 $2K
00170 Anesthesia for intraoral procedures, including biopsy 14 14 $2K
76536 112 107 $2K
99356 109 75 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16 15 $2K
99441 66 56 $2K
87428 61 59 $2K
73630 237 210 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 31 28 $1K
99406 288 236 $1K
90656 91 82 $1K
73610 169 163 $1K
72141 26 26 $1K
91322 13 13 $1K
99480 Subsequent intensive care, per day, low birth weight infant 19 14 $1K
99336 84 52 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $1K
64483 14 14 $1K
71250 47 43 $1K
69210 47 37 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $1K
00731 15 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 89 84 $919.55
99217 30 26 $905.45
99335 75 43 $882.63
71271 25 24 $843.22
20611 13 13 $834.23
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 19 12 $741.25
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 13 $646.03
99348 30 25 $640.52
81025 91 87 $613.06
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $610.92
87086 Culture, bacterial; quantitative colony count, urine 100 92 $598.94
81003 584 548 $579.21
73130 55 49 $480.45
80305 43 39 $429.89
20553 14 13 $421.71
S9088 Services provided in an urgent care center (list in addition to code for service) 11,230 10,077 $409.05
73110 43 38 $359.90
99443 15 12 $342.52
73030 42 39 $340.84
20552 12 12 $236.08
77062 14 14 $226.86
73502 31 29 $199.04
93971 12 12 $198.00
G0008 Administration of influenza virus vaccine 72 61 $189.71
99316 18 17 $163.27
81001 52 47 $117.89
73564 14 12 $111.01
72100 13 12 $105.87
51798 12 12 $80.53
72040 12 12 $65.33
99497 15 13 $63.73
90480 13 13 $62.70
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 12 $49.97
81002 12 12 $34.12
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 627 565 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,733 3,266 $0.00