Medicaid Provider Spending

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

MCLEAN MEDICAL CENTER AND URGENT CARE LLC

NPI: 1447539325 · MC LEAN, VA 22101 · Internal Medicine Physician · NPI assigned 08/10/2011

$2K
Total Medicaid Paid
54
Total Claims
27
Beneficiaries
1
Codes Billed
2020-12
First Month
2021-04
Last Month

Provider Details

Authorized OfficialGUPTA, AMBRISH (MANAGER)
NPI Enumeration Date08/10/2011

Related Entities

Other providers sharing the same authorized official: GUPTA, AMBRISH

ProviderCityStateTotal Paid
FAIRFAX URGENT CARE LLC FALLS CHURCH VA $253K
ALEXANDRIA HEALTH CARE CENTER, PLLC ALEXANDRIA VA $173K
MEDICAL ASSOCIATES OF NORTHERN VA INC ARLINGTON VA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $749.96
2021 27 $764.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 27 $2K