WHITE RIVER FAMILY PRACTICE PC
NPI: 1518032564
· WHITE RIVER JCT, VT 05001
· Family Medicine Physician
· NPI assigned 11/22/2006
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | NUNLIST, MARK (MD) |
| NPI Enumeration Date | 11/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
647 |
$36K |
| 2019 |
687 |
$36K |
| 2020 |
618 |
$17K |
| 2021 |
1,490 |
$21K |
| 2022 |
1,338 |
$16K |
| 2023 |
1,470 |
$4K |
| 2024 |
927 |
$288.12 |
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 |
1,855 |
1,590 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
180 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
337 |
320 |
$5K |
| 90682 |
|
32 |
30 |
$1K |
| 91300 |
|
14 |
12 |
$0.10 |
| 3008F |
|
4,687 |
4,147 |
$0.00 |
| 90686 |
|
56 |
53 |
$0.00 |