Medicaid Provider Spending

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

VIRGIN, FRANK

NPI: 1821207002 · NASHVILLE, TN 37232 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/22/2007

$266K
Total Medicaid Paid
2,070
Total Claims
1,937
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $108K
2019 690 $86K
2020 490 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 403 386 $122K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 356 332 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,045 971 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 77 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 154 144 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 27 $4K