Medicaid Provider Spending

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

APPOMATTOX RIVER MEDICAL LLC

NPI: 1538179015 · HOPEWELL, VA 23860 · Internal Medicine Physician · NPI assigned 08/08/2006

$1.06M
Total Medicaid Paid
45,252
Total Claims
37,143
Beneficiaries
29
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialSPALDING, CARTER (ADMINISTRATOR)
NPI Enumeration Date08/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,369 $189K
2019 13,192 $296K
2020 8,650 $248K
2021 7,999 $218K
2022 4,042 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,990 11,620 $552K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,071 7,509 $431K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 183 161 $16K
99000 6,117 5,135 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 154 136 $9K
99490 Ccm add 20min 2,339 1,694 $7K
36415 Collection of venous blood by venipuncture 6,333 5,311 $6K
90686 613 517 $5K
80048 Basic metabolic panel (calcium, ionized) 1,035 803 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 946 716 $3K
81000 1,015 860 $3K
90674 114 100 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 186 151 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 312 288 $1K
80061 Lipid panel 488 353 $593.89
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 38 $492.41
80076 533 387 $466.37
77080 13 13 $428.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 34 25 $348.01
0012A 14 14 $312.29
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34 24 $307.67
0011A 20 20 $210.23
71046 Radiologic examination, chest; 2 views 13 12 $143.61
83036 Hemoglobin; glycosylated (A1C) 90 65 $133.06
99406 29 28 $60.27
G0008 Administration of influenza virus vaccine 65 45 $40.38
90460 Immunization administration through 18 years of age via any route, first or only component 51 44 $28.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 413 361 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,008 713 $0.00