Medicaid Provider Spending

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

VIDALIA HEALTH SERVICES, LLC

NPI: 1790376564 · VIDALIA, GA 30474 · General Acute Care Hospital · NPI assigned 02/03/2021

$75K
Total Medicaid Paid
391
Total Claims
375
Beneficiaries
13
Codes Billed
2021-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialKIRBY, JARED (CFO)
NPI Enumeration Date02/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 391 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 84 79 $47K
99284 Emergency department visit for the evaluation and management, high severity 24 24 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 24 23 $13K
81025 30 29 $0.00
80305 14 14 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 16 15 $0.00
81001 48 47 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16 15 $0.00
87088 30 30 $0.00
71045 Radiologic examination, chest; single view 22 21 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 13 12 $0.00
85027 36 34 $0.00
80053 Comprehensive metabolic panel 34 32 $0.00