Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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INFANT JESUS CHILDRENS CLINIC PLC

NPI: 1659306991 · COLONIAL HEIGHTS, VA 23834 · Pediatrics Physician · NPI assigned 07/12/2006

$25K
Total Medicaid Paid
479
Total Claims
431
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialGONZALES, PATRICIA (PRESIDENT)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, PATRICIA

ProviderCityStateTotal Paid
INFANT JESUS PEDIATRICS PLC HOPEWELL VA $1.28M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 414 $21K
2019 65 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 308 270 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70 61 $6K
90686 21 21 $231.00
99173 15 15 $35.25
90460 Immunization administration through 18 years of age via any route, first or only component 65 64 $11.00