Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI: 1366462137 · POWHATAN, VA 23139 · Public Health or Welfare Agency · NPI assigned 07/21/2006

$2K
Total Medicaid Paid
146
Total Claims
126
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMOORE, PAULETTE (BUSINESS MANAGER)
NPI Enumeration Date07/21/2006

Related Entities

Other providers sharing the same authorized official: MOORE, PAULETTE

ProviderCityStateTotal Paid
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH CHESTERFIELD VA $307K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH COLONIAL HEIGHTS VA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $84.17
2023 47 $1K
2024 46 $581.31

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90651 26 26 $770.44
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 35 $592.02
90619 32 32 $371.72
90715 24 16 $68.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 17 $15.51