PREFERRED VASCULAR SERVICES NORTHWEST, LLC

NPI: 1598037822 · MARIETTA, GA 30060 · Vascular & Interventional Radiology Physician · NPI assigned 02/01/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BALDOCK, JENNIFER controls 20+ related entities in our dataset. Read more

$12K

Total Medicaid Paid

1,049

Total Claims

693

Beneficiaries

Codes Billed

2018-01

First Month

2019-08

Last Month

Provider Details

Authorized Official	BALDOCK, JENNIFER (OFFICER AND AUTHORIZED OFFICIAL)
NPI Enumeration Date	02/01/2012

Other providers sharing the same authorized official: BALDOCK, JENNIFER

Provider	City	State	Total Paid
HEART HOSPITAL OF BK, LLC	BAKERSFIELD	CA	$12.48M
GREAT FALLS CLINIC LLC	GREAT FALLS	MT	$11.19M
MONTPELIER SURGERY CENTER LLC	SAN JOSE	CA	$7.09M
CYPRESS SURGERY CENTER LLC	WICHITA	KS	$6.84M
PHYSICIANS SURGERY SERVICES LLC	SAN JOSE	CA	$5.38M
SEQUOIA SURGICAL CENTER LP	WALNUT CREEK	CA	$3.78M
CMSC, LLC	GREAT FALLS	MT	$2.60M
PAIN MANAGEMENT ASSOCIATES, INC.	LAGUNA HILLS	CA	$1.96M
RIVERSIDE SPINE & PAIN PHYSICIANS, LLC	JACKSONVILLE	FL	$1.68M
ALASKA DIGESTIVE CENTER, LLC	ANCHORAGE	AK	$1.59M
COLD SPRINGS MEDICAL SURGICAL GROUP LLC	SANTA BARBARA	CA	$1.59M
SPECIALTY SURGICAL CENTER OF IRVINE LP	IRVINE	CA	$1.44M
MILLENIA SURGERY CENTER LLC	ORLANDO	FL	$942K
ARC KENTUCKY LLC	LOUISVILLE	KY	$872K
ANIMAS SURGICAL HOSPITAL, LLC	DURANGO	CO	$677K
NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC	COLORADO SPRINGS	CO	$636K
FOREST AMBULATORY SURGICAL ASSOCIATES LLC	SAN JOSE	CA	$583K
BAYSIDE ENDOSCOPY CENTER, LLC	PROVIDENCE	RI	$553K
SPECIALTY SURGICAL CENTER, LLC	BEVERLY HILLS	CA	$553K
VILLAGE SURGICENTER, LIMITED PARTNERSHIP	ERIE	PA	$314K

Year	Claims	Total Paid
2018	154	$2K
2019	895	$11K

Code	Description	Claims	Beneficiaries	Total Paid
36902		81	62	$4K
93990		187	168	$2K
36215		121	82	$2K
37248		15	13	$1K
75710		126	86	$1K
76937		258	100	$554.88
36907		37	27	$550.11
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	22	$226.65
99152		111	76	$190.50
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	86	57	$115.52