WVP MEDICAL GROUP, LLC
NPI: 1538535059
· INDEPENDENCE, OR 97351
· Clinic/Center
· NPI assigned 08/19/2015
$266K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDRETTA, DEAN (CFO) |
| Parent Organization | MID VALLEY IPA, INC |
| NPI Enumeration Date | 08/19/2015 |
Related Entities
Other providers sharing the same authorized official: ANDRETTA, DEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,637 |
$136K |
| 2019 |
1,793 |
$130K |
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 |
2,037 |
1,735 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
1,104 |
$78K |
| 90686 |
|
85 |
83 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
33 |
$729.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
12 |
$261.19 |
| 96127 |
|
29 |
26 |
$145.51 |