Medicaid Provider Spending

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

NOVA FOOT AND ANKLE PLLC

NPI: 1770828527 · HERNDON, VA 20170 · Foot & Ankle Surgery Podiatrist · NPI assigned 12/05/2012

$62K
Total Medicaid Paid
1,240
Total Claims
1,016
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialIDICULLA, AMI (PHYSICIAN)
NPI Enumeration Date12/05/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122 $4K
2019 103 $4K
2020 83 $4K
2021 284 $14K
2022 222 $12K
2023 256 $14K
2024 170 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,189 976 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 28 $2K
73630 22 12 $547.00