Medicaid Provider Spending

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

ADULT PRIMARY CARE CENTER LLC

NPI: 1326243395 · WOODBRIDGE, VA 22191 · Internal Medicine Physician · NPI assigned 06/19/2007

$65K
Total Medicaid Paid
6,176
Total Claims
3,245
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEYDARIAN, SIAMAK (PRESIDENT)
NPI Enumeration Date06/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,447 $6K
2019 1,151 $9K
2020 647 $9K
2021 518 $9K
2022 388 $10K
2023 496 $10K
2024 529 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,114 1,781 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70 25 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 106 58 $1K
90756 35 16 $81.63
G8754 Most recent diastolic blood pressure < 90 mmhg 109 59 $0.00
1036F 858 418 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 25 13 $0.00
G0008 Administration of influenza virus vaccine 33 14 $0.00
3017F 63 30 $0.00
1101F 63 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 858 408 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 512 229 $0.00
3725F 81 42 $0.00
2022F 74 39 $0.00
G0444 Annual depression screening, 5 to 15 minutes 55 27 $0.00
4004F 38 18 $0.00
G9666 Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl 24 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 41 15 $0.00
4040F 17 12 $0.00