SKYLINE MEDICAL PRACTICE LLC
NPI: 1356951628
· FRONT ROYAL, VA 22630
· Nurse Practitioner
· NPI assigned 08/03/2020
$160K
Total Medicaid Paid
Provider Details
| Authorized Official | DEVER, CHELSEY (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 08/03/2020 |
Related Entities
Other providers sharing the same authorized official: DEVER, CHELSEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
233 |
$9K |
| 2021 |
521 |
$22K |
| 2022 |
672 |
$34K |
| 2023 |
2,438 |
$49K |
| 2024 |
2,782 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,345 |
2,078 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
515 |
$33K |
| 3074F |
|
1,057 |
967 |
$2K |
| 3078F |
|
943 |
847 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$840.93 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
68 |
$699.96 |
| 3079F |
|
306 |
279 |
$600.00 |
| 80305 |
|
28 |
25 |
$289.80 |
| 3075F |
|
70 |
54 |
$100.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
39 |
$73.40 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
71 |
56 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
1,134 |
1,020 |
$0.00 |