Medicaid Provider Spending

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

ASHLEY VALLEY PHYSICIAN PRACTICE, LLC

NPI: 1740423367 · VERNAL, UT 84078 · Urology Physician · NPI assigned 04/13/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$442K
Total Medicaid Paid
7,211
Total Claims
6,156
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date04/13/2009

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,209 $63K
2019 1,415 $80K
2020 1,488 $90K
2021 1,787 $117K
2022 1,211 $85K
2023 101 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,838 2,546 $205K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,468 2,860 $184K
99223 Prolong inpt eval add15 m 87 71 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 115 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 177 166 $12K
99222 Initial hospital care, per day, moderate complexity 67 57 $9K
99239 Hospital discharge day management, more than 30 minutes 93 80 $1K
99232 Subsequent hospital care, per day, moderate complexity 124 54 $739.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $501.03
99443 18 17 $116.71
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $37.73
36415 Collection of venous blood by venipuncture 172 151 $23.52
83036 Hemoglobin; glycosylated (A1C) 13 13 $0.00