Medicaid Provider Spending

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

POTOMAC HEALTHCARE SOLUTIONS, LLC

NPI: 1477934727 · WOODBRIDGE, VA 22192 · Clinical Medical Laboratory · NPI assigned 06/12/2015

$10K
Total Medicaid Paid
790
Total Claims
710
Beneficiary Records
12
Codes Billed
2019-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialJACKSON, DAPHNEY (CREDENTIALING MANAGER)
NPI Enumeration Date06/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $435.38
2021 349 $4K
2022 217 $3K
2023 209 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 201 178 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 128 112 $2K
0001A 48 41 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 80 73 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 78 68 $993.09
0002A 27 27 $852.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 16 $281.00
90688 14 14 $117.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 81 $97.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 26 $27.72
87430 15 12 $14.55
91300 69 62 $0.47