Medicaid Provider Spending

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

VIRGINIA DEPARTMENT OF HEALTH

NPI: 1649231044 · LEBANON, VA 24266 · State or Local Public Health Clinic/Center · NPI assigned 03/28/2006

$92K
Total Medicaid Paid
5,576
Total Claims
5,172
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSLOCE, REISA (COO)
NPI Enumeration Date03/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,162 $24K
2019 1,050 $21K
2020 640 $9K
2021 744 $10K
2022 735 $10K
2023 638 $8K
2024 607 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,066 2,825 $49K
G9002 Coordinated care fee, maintenance rate 182 156 $18K
90686 1,077 988 $12K
90715 303 293 $3K
90734 231 228 $3K
90619 201 193 $2K
90651 120 116 $1K
99188 43 41 $834.52
90656 60 60 $684.55
90632 17 15 $579.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 102 $508.95
81025 44 37 $240.90
90633 14 14 $162.80
90647 13 12 $137.50
90670 12 12 $135.30
99000 81 80 $107.54