FAIRFAX URGENT CARE LLC
NPI: 1376823237
· FALLS CHURCH, VA 22042
· Internal Medicine Physician
· NPI assigned 08/24/2011
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | GUPTA, AMBRISH (MANAGER) |
| NPI Enumeration Date | 08/24/2011 |
Related Entities
Other providers sharing the same authorized official: GUPTA, AMBRISH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
212 |
$7K |
| 2020 |
585 |
$24K |
| 2021 |
845 |
$37K |
| 2022 |
1,276 |
$59K |
| 2023 |
1,073 |
$71K |
| 2024 |
753 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
1,433 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,772 |
1,578 |
$110K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
191 |
174 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
57 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
135 |
$3K |
| 99000 |
|
661 |
579 |
$1K |
| 87430 |
|
62 |
57 |
$831.60 |
| 99051 |
|
30 |
25 |
$0.00 |