VIVERANT INTEGRATIVE CLINIC LLC
NPI: 1255943767
· JEFFERSONVILLE, IN 47130
· 261QI0500X
$430K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
5,641 |
$160K |
| 2023 |
6,069 |
$242K |
| 2024 |
1,912 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,288 |
2,433 |
$330K |
| 99211 |
|
2,216 |
1,488 |
$29K |
| 80305 |
|
2,523 |
1,703 |
$20K |
| 99407 |
|
1,252 |
608 |
$18K |
| 90853 |
|
794 |
433 |
$12K |
| 99213 |
|
115 |
63 |
$7K |
| 90833 |
|
157 |
65 |
$6K |
| 96365 |
|
68 |
26 |
$2K |
| 99406 |
|
206 |
95 |
$2K |
| 96360 |
|
65 |
25 |
$1K |
| 96127 |
|
466 |
218 |
$1K |
| 96374 |
|
34 |
12 |
$621.18 |
| 36000 |
|
36 |
13 |
$412.92 |
| 96366 |
|
31 |
13 |
$236.80 |
| 82306 |
|
20 |
12 |
$200.00 |
| 96367 |
|
27 |
12 |
$182.58 |
| 96361 |
|
31 |
13 |
$144.25 |
| 96372 |
|
20 |
14 |
$137.80 |
| J3415 |
Pyridoxine hcl 100 mg |
22 |
12 |
$100.00 |
| J3420 |
Vitamin b12 injection |
171 |
93 |
$65.95 |
| A4217 |
Sterile water/saline, 500 ml |
26 |
12 |
$29.19 |
| J3475 |
Inj magnesium sulfate |
30 |
13 |
$7.17 |
| J3490 |
Drugs unclassified injection |
24 |
12 |
$0.00 |