Medicaid Provider Spending

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

ESSENTIA HEALTH VIRGINIA, LLC

NPI: 1326598418 · ELY, MN 55731 · Rural Health Clinic/Center · NPI assigned 10/12/2016

$3.18M
Total Medicaid Paid
34,412
Total Claims
25,984
Beneficiaries
26
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, SAMUEL (COO)
NPI Enumeration Date10/12/2016

Related Entities

Other providers sharing the same authorized official: STONE, SAMUEL

ProviderCityStateTotal Paid
ESSENTIA HEALTH VIRGINIA, LLC VIRGINIA MN $12.89M
ESSENTIA HEALTH VIRGINIA, LLC INTERNATIONAL FALLS MN $5.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,856 $454K
2019 5,693 $491K
2020 5,225 $355K
2021 6,542 $464K
2022 4,359 $488K
2023 5,010 $585K
2024 2,727 $348K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,532 10,612 $1.99M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,712 6,746 $1.17M
99443 87 76 $22K
36415 Collection of venous blood by venipuncture 6,359 4,787 $661.95
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $580.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,489 1,125 $343.68
90686 1,094 799 $326.13
90662 15 12 $158.76
G0008 Administration of influenza virus vaccine 15 12 $64.23
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 102 90 $45.52
0004A 120 91 $41.95
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 196 141 $0.00
99173 94 79 $0.00
0002A 204 200 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 581 468 $0.00
0071A 60 58 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 54 50 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 92 85 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 13 $0.00
0001A 237 237 $0.00
0072A 26 26 $0.00
92551 90 75 $0.00
90688 116 100 $0.00
85027 52 50 $0.00
90656 26 13 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 33 27 $0.00