VIRGINIA DEPARTMENT OF HEALTH
NPI: 1811958200
· GRUNDY, VA 24614
· Multi-Specialty Clinic/Center
· NPI assigned 03/28/2006
Provider Details
| Authorized Official | WILLIS, JOHNNY (BUSINESS MANAGER) |
| NPI Enumeration Date | 03/28/2006 |
Related Entities
Other providers sharing the same authorized official: WILLIS, JOHNNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
572 |
$26K |
| 2019 |
413 |
$10K |
| 2020 |
280 |
$3K |
| 2021 |
339 |
$4K |
| 2022 |
306 |
$5K |
| 2023 |
357 |
$4K |
| 2024 |
154 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
250 |
233 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,074 |
992 |
$16K |
| 90686 |
|
684 |
639 |
$8K |
| 90734 |
|
103 |
98 |
$1K |
| 90619 |
|
104 |
92 |
$1K |
| 90715 |
|
54 |
44 |
$576.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
67 |
$346.36 |
| 90651 |
|
33 |
27 |
$289.31 |
| 90656 |
|
30 |
28 |
$272.77 |
| 99188 |
|
12 |
12 |
$215.73 |