Medicaid Provider Spending

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

CITY OF SISTERSVILLE

NPI: 1710203419 · SISTERSVILLE, WV 26175 · Rural Health Clinic/Center · NPI assigned 04/20/2010

$1.14M
Total Medicaid Paid
11,253
Total Claims
9,964
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCHADOCK, BRANDON (AO)
NPI Enumeration Date04/20/2010

Related Entities

Other providers sharing the same authorized official: CHADOCK, BRANDON

ProviderCityStateTotal Paid
CITY OF SISTERSVILLE SISTERSVILLE WV $2.37M
CITY OF SISTERSVILLE MIDDLEBOURNE WV $207K
CITY OF SISTERSVILLE SAINT MARYS WV $198K
CITY OF SISTERSVILLE SISTERSVILLE WV $445.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,186 $401K
2019 1,998 $181K
2020 3,524 $374K
2021 1,545 $182K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,772 5,012 $944K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,660 2,350 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,987 1,844 $67K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 440 414 $25K
90686 216 209 $14K
90472 Immunization administration, each additional vaccine (list separately) 62 27 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 84 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00