SANDSTON PRIMARY CARE INC.
NPI: 1265534382
· SANDSTON, VA 23150
· Preferred Provider Organization
· NPI assigned 09/01/2006
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | KHAN, SHUJA (OWNER PRESIDENT) |
| NPI Enumeration Date | 09/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
202 |
$2K |
| 2019 |
470 |
$11K |
| 2020 |
502 |
$18K |
| 2021 |
331 |
$15K |
| 2022 |
499 |
$22K |
| 2023 |
630 |
$25K |
| 2024 |
389 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,084 |
1,597 |
$100K |
| 99490 |
Ccm add 20min |
651 |
628 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
29 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
64 |
58 |
$378.00 |
| 90674 |
|
18 |
17 |
$298.48 |
| 99000 |
|
120 |
116 |
$225.03 |
| 96127 |
|
27 |
27 |
$102.12 |
| 99491 |
Ccm add 20min |
19 |
19 |
$85.65 |