MANSILLA MEDICAL PRACTICE, PC
NPI: 1316143860
· MIDLOTHIAN, VA 23114
· 207R00000X
$417K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
711 |
$8K |
| 2019 |
237 |
$5K |
| 2020 |
6,170 |
$103K |
| 2021 |
4,128 |
$137K |
| 2022 |
3,409 |
$135K |
| 2023 |
491 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,212 |
2,707 |
$210K |
| 99213 |
|
3,360 |
2,925 |
$170K |
| 99396 |
|
118 |
110 |
$9K |
| 93000 |
|
526 |
492 |
$6K |
| 90674 |
|
285 |
265 |
$6K |
| 96127 |
|
749 |
713 |
$3K |
| 0012A |
|
83 |
83 |
$3K |
| 81002 |
|
1,182 |
1,066 |
$3K |
| 0011A |
|
80 |
77 |
$2K |
| 99000 |
|
965 |
898 |
$2K |
| 99173 |
|
545 |
523 |
$1K |
| 99395 |
|
13 |
12 |
$1K |
| 90471 |
|
203 |
192 |
$483.47 |
| 87811 |
|
12 |
12 |
$325.87 |
| 99211 |
|
15 |
12 |
$186.63 |
| 87804 |
|
14 |
12 |
$180.18 |
| 87880 |
|
12 |
12 |
$127.30 |
| G8417 |
Calc bmi abv up param f/u |
373 |
295 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
267 |
223 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,092 |
780 |
$0.00 |
| G8731 |
Pain neg no plan |
83 |
57 |
$0.00 |
| G8752 |
Sys bp less 140 |
208 |
181 |
$0.00 |
| G8482 |
Flu immunize order/admin |
49 |
36 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
94 |
77 |
$0.00 |
| G8730 |
Pain doc pos and plan |
64 |
53 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
36 |
16 |
$0.00 |
| 1036F |
|
389 |
282 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
39 |
17 |
$0.00 |
| G8754 |
Dias bp less 90 |
225 |
193 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
125 |
110 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
34 |
26 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
494 |
395 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
169 |
93 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
15 |
13 |
$0.00 |
| 3017F |
|
16 |
13 |
$0.00 |