MVC CT
NPI: 1487397600
· STAMFORD, CT 06902
· Surgery Physician
· NPI assigned 04/15/2022
$2.68M
Total Medicaid Paid
Provider Details
| Authorized Official | DESANTIS, ASHLEY (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 04/15/2022 |
Related Entities
Other providers sharing the same authorized official: DESANTIS, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
5,576 |
$1.30M |
| 2024 |
6,027 |
$1.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 36475 |
|
1,268 |
855 |
$1.33M |
| 36465 |
|
1,240 |
867 |
$862K |
| 93970 |
|
1,707 |
1,629 |
$163K |
| 93971 |
|
2,369 |
1,699 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,261 |
1,206 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,495 |
1,922 |
$44K |
| 76942 |
|
678 |
494 |
$37K |
| 36471 |
|
329 |
234 |
$18K |
| 10160 |
|
131 |
116 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
91 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$944.58 |