Medicaid Provider Spending

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

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC

NPI: 1720259054 · FALLS CHURCH, VA 22042 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI assigned 03/14/2008

$28K
Total Medicaid Paid
640
Total Claims
543
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialO'HALLORAN, LAURENCE (PRESIDENT)
NPI Enumeration Date03/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $13K
2019 227 $9K
2020 41 $6K
2023 26 $0.00
2024 25 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 353 302 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 144 138 $8K
V5257 Hearing aid, digital, monaural, bte 21 14 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51 40 $2K
V5266 Battery for use in hearing device 20 13 $153.00
92567 38 24 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $0.00