Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MANSILLA MEDICAL PRACTICE, PC

NPI: 1316143860 · MIDLOTHIAN, VA 23114 · Internal Medicine Physician · NPI assigned 06/22/2007

$417K
Total Medicaid Paid
15,146
Total Claims
12,971
Beneficiaries
35
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialMANSILLA, OLIVIA (PRESIDENT)
NPI Enumeration Date06/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 711 $8K
2019 237 $5K
2020 6,170 $103K
2021 4,128 $137K
2022 3,409 $135K
2023 491 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,212 2,707 $210K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,360 2,925 $170K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 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 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 203 192 $483.47
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 12 12 $325.87
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 12 $186.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 12 $180.18
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $127.30
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 373 295 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 267 223 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,092 780 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 83 57 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 208 181 $0.00
G8482 Influenza immunization administered or previously received 49 36 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 94 77 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 64 53 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 36 16 $0.00
1036F 389 282 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 39 17 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 225 193 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 125 110 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 34 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 494 395 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 169 93 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 13 $0.00
3017F 16 13 $0.00