DERVAN HEALTHCARE SERVICES LLC
NPI: 1275182560
· WASHINGTON, DC 20020
· Primary Care Clinic/Center
· NPI assigned 09/09/2019
$298K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$4K |
| 2021 |
677 |
$47K |
| 2022 |
1,064 |
$65K |
| 2023 |
1,250 |
$86K |
| 2024 |
1,224 |
$97K |
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 |
1,685 |
1,554 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,303 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
693 |
667 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
130 |
$815.85 |
| 81002 |
|
51 |
49 |
$133.44 |
| 81003 |
|
52 |
51 |
$82.80 |
| 36416 |
|
30 |
30 |
$0.00 |