Medicaid Provider Spending

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

VIVANT MEDICAL CARE PC

NPI: 1376209072 · RIDGEFIELD, NJ 07657 · Internal Medicine Physician · NPI assigned 11/17/2021

$25K
Total Medicaid Paid
249
Total Claims
226
Beneficiaries
4
Codes Billed
2022-12
First Month
2023-06
Last Month

Provider Details

Authorized OfficialKHALIL, SAMIR (PRESIDENT)
NPI Enumeration Date11/17/2021

Related Entities

Other providers sharing the same authorized official: KHALIL, SAMIR

ProviderCityStateTotal Paid
SKK DENTAL PLLC DBA LIBERTY DENTAL ARTS ROCHESTER NY $510K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 34 $3K
2023 215 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133 115 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76 71 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 28 $4K
99385 12 12 $1K