Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › LEESBURG › LOUDOUN COMMUNITY HEALTH CENTER

LOUDOUN COMMUNITY HEALTH CENTER

NPI: 1629109806 · LEESBURG, VA 20176 · Mammography Clinic/Center · NPI assigned 03/08/2007

$2.50M
Total Medicaid Paid
97,172
Total Claims
89,870
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDHINDSA, AMANDEEP (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,709 $277K
2019 11,593 $298K
2020 13,383 $325K
2021 17,472 $431K
2022 17,514 $437K
2023 14,610 $424K
2024 11,891 $307K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,333 18,356 $1.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,366 4,823 $328K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,365 2,272 $178K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,068 1,986 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,561 1,439 $106K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 657 642 $54K
90686 4,459 4,178 $47K
90651 665 648 $42K
90670 1,561 1,481 $40K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,568 2,036 $31K
D1120 Prophylaxis - child 1,257 1,246 $31K
92551 3,049 2,913 $28K
90837 Psychotherapy, 53 minutes with patient 198 139 $21K
D0120 Periodic oral evaluation - established patient 1,431 1,427 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 265 251 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 241 233 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,389 637 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,219 1,157 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 175 169 $14K
D1206 Topical application of fluoride varnish 688 684 $13K
99173 5,769 5,513 $13K
85018 6,094 5,808 $12K
90633 823 784 $10K
90680 608 580 $10K
90791 Psychiatric diagnostic evaluation 87 74 $9K
90460 Immunization administration through 18 years of age via any route, first or only component 7,172 6,696 $9K
D1208 Topical application of fluoride, excluding varnish 918 918 $8K
90674 428 392 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 268 255 $7K
0072A 172 171 $7K
90792 Psychiatric diagnostic evaluation with medical services 119 91 $6K
0071A 164 157 $6K
0002A 168 168 $6K
87428 206 203 $6K
0012A 159 157 $6K
90648 546 516 $6K
90832 Psychotherapy, 30 minutes with patient 86 59 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,634 3,343 $5K
99385 60 58 $5K
0011A 125 123 $5K
3074F 777 730 $4K
0001A 185 185 $4K
90461 3,109 2,936 $4K
D1110 Prophylaxis - adult 121 119 $4K
0124A 114 108 $4K
D0150 Comprehensive oral evaluation - new or established patient 117 114 $4K
3078F 637 596 $4K
99188 188 184 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 107 104 $3K
90710 79 76 $3K
90685 283 254 $3K
90723 210 200 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 231 225 $3K
99000 1,161 1,085 $3K
90715 146 139 $2K
90834 Psychotherapy, 45 minutes with patient 29 27 $2K
81025 410 381 $2K
90734 123 121 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 247 231 $2K
90621 100 96 $2K
90698 129 121 $2K
96127 334 329 $2K
36415 Collection of venous blood by venipuncture 836 810 $1K
0054A 56 56 $1K
3079F 184 176 $1K
0003A 36 36 $1K
81002 533 510 $1K
99383 13 12 $1K
90656 58 58 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 59 55 $867.26
90744 83 79 $856.44
D0330 Panoramic radiographic image 39 39 $842.28
D1351 Sealant - per tooth 26 12 $839.28
0004A 16 16 $640.00
90472 Immunization administration, each additional vaccine (list separately) 862 808 $554.19
90700 43 40 $530.05
3075F 52 50 $525.00
36416 4,324 4,148 $437.16
90480 41 26 $422.50
90707 27 27 $368.67
90671 14 14 $338.00
D0140 Limited oral evaluation - problem focused 13 13 $322.79
D0274 Bitewings - four radiographic images 12 12 $303.60
90716 13 12 $256.72
D0210 Intraoral - complete series of radiographic images 23 12 $215.04
D1354 15 12 $168.00
86756 31 27 $26.34
3080F 13 13 $25.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 67 66 $0.00
91307 447 386 $0.00
91305 117 112 $0.00
91301 365 345 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 36 36 $0.00
91300 565 519 $0.00
91312 104 99 $0.00
99473 77 76 $0.00
D0220 Intraoral - periapical first radiographic image 14 14 $0.00