Medicaid Provider Spending

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

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI: 1720053648 · FRANKLIN, VA 23851 · State or Local Public Health Clinic/Center · NPI assigned 02/22/2006

$83K
Total Medicaid Paid
2,748
Total Claims
2,624
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialTILLERY, ANGELA (BUSINESS MANAGER)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: TILLERY, ANGELA

ProviderCityStateTotal Paid
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH SUFFOLK VA $389K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH COURTLAND VA $69K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH SMITHFIELD VA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 578 $23K
2019 368 $11K
2020 338 $5K
2021 334 $14K
2022 255 $17K
2023 361 $6K
2024 514 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9002 Coordinated care fee, maintenance rate 440 436 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 954 908 $15K
J1050 Injection, medroxyprogesterone acetate, 1 mg 405 388 $6K
S0215 Non-emergency transportation; mileage, per mile 118 118 $3K
90619 146 143 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 77 72 $1K
90715 118 110 $1K
81025 173 162 $1K
90651 89 86 $908.83
90633 14 14 $177.78
90734 26 26 $175.36
86580 28 25 $157.28
99000 64 55 $91.04
81003 34 30 $73.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $63.04
85018 18 14 $30.42
36415 Collection of venous blood by venipuncture 14 12 $26.97
96160 17 13 $21.38