JIVANA LLC
NPI: 1710375662
· BETHESDA, MD 20814
· Primary Care Clinic/Center
· NPI assigned 12/30/2014
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | ORTEGA, GEZZER (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 12/30/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
37 |
$227.28 |
| 2020 |
214 |
$5K |
| 2021 |
204 |
$18K |
| 2022 |
751 |
$64K |
| 2023 |
648 |
$69K |
| 2024 |
70 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
878 |
657 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
552 |
$53K |
| 96127 |
|
216 |
194 |
$897.21 |
| 99490 |
Ccm add 20min |
37 |
37 |
$227.28 |
| 99454 |
|
93 |
89 |
$0.00 |
| 99457 |
|
13 |
13 |
$0.00 |