Medicaid Provider Spending

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

PRATT MEDICAL CENTER LTD

NPI: 1316973555 · FREDERICKSBURG, VA 22401 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 06/22/2006

$735K
Total Medicaid Paid
23,479
Total Claims
18,242
Beneficiaries
51
Codes Billed
2018-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialWALKER, SCOTT (PRESIDENT)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: WALKER, SCOTT

ProviderCityStateTotal Paid
STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY CHOWCHILLA CA $17.51M
PRATT MEDICAL CENTER,LTD FREDERICKSBURG VA $949.32
PRATT MEDICAL CENTER LTD FREDERICKSBURG VA $492.84

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,800 $108K
2019 19,679 $627K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,548 4,997 $346K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,171 3,276 $175K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 554 461 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 476 354 $27K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 465 374 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 238 178 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 263 198 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 157 143 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 955 815 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 235 216 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 328 237 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 115 77 $7K
90670 301 250 $4K
90686 511 371 $4K
36415 Collection of venous blood by venipuncture 2,681 2,298 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,380 963 $3K
90710 100 81 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 207 172 $3K
90698 213 179 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 24 15 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 208 103 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 25 $2K
92551 285 226 $2K
99173 1,041 840 $2K
90791 Psychiatric diagnostic evaluation 33 24 $2K
90680 124 97 $2K
90633 154 126 $1K
90837 Psychotherapy, 53 minutes with patient 21 15 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 181 145 $1K
90651 48 36 $1K
90744 59 40 $470.73
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 50 34 $408.07
99232 Subsequent hospital care, per day, moderate complexity 17 12 $355.60
81001 362 240 $305.20
84443 Thyroid stimulating hormone (TSH) 53 30 $280.05
90696 18 13 $211.40
71046 Radiologic examination, chest; 2 views 16 13 $209.73
83036 Hemoglobin; glycosylated (A1C) 154 106 $200.89
90672 17 12 $161.00
93000 21 13 $142.30
99174 38 30 $120.03
80061 Lipid panel 150 101 $118.54
80053 Comprehensive metabolic panel 171 108 $105.66
84439 58 36 $100.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 29 $96.30
85018 50 36 $62.33
80050 General health panel 25 18 $36.92
81003 44 27 $25.42
85027 25 13 $1.44
80048 Basic metabolic panel (calcium, ionized) 48 25 $0.00