VR PHYSICIAN FOR VEIN RESTORATION

$1.11M

Total Medicaid Paid

10,928

Total Claims

9,678

Beneficiaries

20

Codes Billed

2018-01

First Month

2024-12

Last Month

Authorized Official	THOMAS, LORENA (CREDENTIALING MANAGER)
NPI Enumeration Date	12/19/2012

Provider	City	State	Total Paid
CENTER FOR VEIN RESTORATION MI PLLC	PORTAGE	MI	$2.86M
CENTER FOR VEIN RESTORATION IN, LLC	GREENWOOD	IN	$1.35M
CENTER FOR VEIN RESTORATION AZ LLC	MESA	AZ	$184K
CENTER FOR VEIN RESTORATION PA PLLC	BENSALEM	PA	$136K
CENTER FOR VEIN RESTORATION AL LLC	DOTHAN	AL	$88K

Code	Description	Claims	Beneficiaries	Total Paid
93970		2,757	2,678	$273K
93971		3,646	2,748	$226K
36475		181	141	$177K
36471		738	596	$114K
99244	Office or other outpatient consultation, moderate to high complexity	653	653	$81K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	388	388	$44K
36465		35	25	$41K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	545	545	$32K
36466		24	15	$26K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	423	422	$25K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	206	206	$16K
99242		191	191	$14K
99243		89	89	$8K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	367	358	$7K
76942		150	100	$7K
A6533	Gradient compression stocking, thigh length, 18-30 mmhg, each	273	269	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	69	69	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	68	66	$3K
A6539	Gradient compression stocking, waist length, 18-30 mmhg, each	18	18	$1K
99072		107	101	$197.75

Medicaid Provider Spending