Medicaid Provider Spending

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

CHAPMANVILLE PRIMARY CARE CLINIC

NPI: 1396284428 · CHAPMANVILLE, WV 25508 · General Practice Physician · NPI assigned 02/22/2017

$4.13M
Total Medicaid Paid
89,830
Total Claims
78,126
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialCABAUATAN, LIVIA (MEDICAL DOCTOR)
NPI Enumeration Date02/22/2017

Related Entities

Other providers sharing the same authorized official: CABAUATAN, LIVIA

ProviderCityStateTotal Paid
LOGAN COUNTY BOARD OF HEALTH LOGAN WV $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,224 $608K
2019 4,910 $284K
2020 20,016 $820K
2021 20,213 $780K
2022 15,581 $763K
2023 18,207 $842K
2024 679 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,348 22,765 $1.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,854 11,897 $739K
Q3014 Telehealth originating site facility fee 17,262 14,223 $389K
99407 7,432 6,868 $258K
90837 Psychotherapy, 53 minutes with patient 2,364 1,433 $214K
99442 4,797 4,310 $131K
99443 4,921 4,344 $111K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,246 2,105 $88K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,832 1,737 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,166 1,834 $70K
G0444 Annual depression screening, 5 to 15 minutes 1,320 1,249 $47K
90834 Psychotherapy, 45 minutes with patient 783 532 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 442 412 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 859 802 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 958 816 $34K
90791 Psychiatric diagnostic evaluation 323 227 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 293 271 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 684 568 $19K
99401 294 280 $7K
99441 382 340 $6K
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 73 70 $5K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 219 212 $3K
90832 Psychotherapy, 30 minutes with patient 60 46 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 79 73 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 41 40 $2K
90658 16 16 $1K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 36 33 $986.51
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 16 $423.20
99406 37 35 $389.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21 13 $285.68
98968 15 15 $204.61
80306 19 19 $138.87
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 474 403 $91.35
97803 18 17 $90.44
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 73 61 $90.14
99000 51 44 $0.00