Medicaid Provider Spending

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

POTOMAC UROLOGY CENTER LLC

NPI: 1861588592 · WOODBRIDGE, VA 22191 · Urology Physician · NPI assigned 10/04/2006

$121K
Total Medicaid Paid
7,510
Total Claims
6,315
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOWERY, KRISTINA (CREDENTIALING MANAGER)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: LOWERY, KRISTINA

ProviderCityStateTotal Paid
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC THIBODAUX LA $451K
TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC SPRINGDALE AR $39K
TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC COVINGTON LA $930.32

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 628 $4K
2019 857 $7K
2020 232 $3K
2021 321 $3K
2022 1,457 $14K
2023 2,178 $43K
2024 1,837 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,391 2,109 $84K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,679 1,329 $34K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 159 142 $795.08
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 14 $659.60
81002 524 398 $507.97
2010F 987 880 $500.00
51798 89 81 $294.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $256.67
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 108 98 $3.60
G8785 Blood pressure reading not documented, reason not given 14 12 $1.50
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 163 146 $0.30
G8783 Normal blood pressure reading documented, follow-up not required 482 427 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 69 40 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 316 188 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 53 43 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 347 310 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 85 74 $0.00