Medicaid Provider Spending

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

VYTALIZE HEALTH MEDICAL 2 LLC

NPI: 1720554348 · HOBOKEN, NJ 07030 · Internal Medicine Physician · NPI assigned 10/22/2018

$29K
Total Medicaid Paid
8,591
Total Claims
7,728
Beneficiaries
13
Codes Billed
2019-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGHAWI, FARIS (CEO)
NPI Enumeration Date10/22/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,900 $14K
2020 121 $131.51
2021 1,373 $5K
2022 1,197 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99457 1,736 1,445 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,163 1,788 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 586 557 $5K
99454 907 739 $5K
93000 406 406 $1K
99490 Ccm add 20min 1,668 1,668 $242.46
99497 344 344 $146.32
90653 169 169 $78.54
96401 118 118 $65.63
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 130 130 $40.44
99453 16 16 $7.48
G0008 Administration of influenza virus vaccine 154 154 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 194 194 $0.00