FAIRFAX CONVENIENT CARE LLC
NPI: 1760661391
· FAIRFAX, VA 22031
· General Practice Physician
· NPI assigned 10/31/2007
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | JUBURI, RUDY (PRESIDENT) |
| NPI Enumeration Date | 10/31/2007 |
Related Entities
Other providers sharing the same authorized official: JUBURI, RUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,932 |
$44K |
| 2019 |
3,390 |
$76K |
| 2020 |
2,050 |
$64K |
| 2021 |
602 |
$21K |
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 |
3,268 |
2,264 |
$158K |
| 99215 |
Prolong outpt/office vis |
343 |
242 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
402 |
317 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
58 |
$6K |
| 99000 |
|
1,712 |
1,283 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,505 |
1,146 |
$2K |
| 99205 |
Prolong outpt/office vis |
21 |
15 |
$2K |
| 81002 |
|
387 |
297 |
$643.06 |
| 99490 |
Ccm add 20min |
130 |
102 |
$389.67 |
| 93000 |
|
44 |
36 |
$364.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
13 |
$267.82 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
21 |
15 |
$113.17 |
| 90674 |
|
20 |
14 |
$61.73 |
| 96127 |
|
21 |
15 |
$16.69 |