VAULT MEDICAL GROUP PA
NPI: 1295348019
· NEW YORK, NY 10022
· Internal Medicine Physician
· NPI assigned 08/31/2020
$2.18M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PASTUSZAK, ALEXANDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37,376 |
$577K |
| 2021 |
84,680 |
$1.30M |
| 2022 |
17,693 |
$310K |
| 2023 |
59 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112,621 |
91,874 |
$1.73M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,340 |
4,390 |
$151K |
| 0002A |
|
2,355 |
2,289 |
$84K |
| 0001A |
|
2,400 |
2,333 |
$71K |
| 0012A |
|
1,741 |
1,697 |
$50K |
| 0011A |
|
1,846 |
1,731 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,823 |
1,717 |
$28K |
| 0031A |
|
954 |
936 |
$17K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
858 |
787 |
$15K |
| 91300 |
|
4,620 |
3,985 |
$38.30 |
| 91301 |
|
3,310 |
3,191 |
$32.22 |
| 91303 |
|
940 |
922 |
$7.02 |