SUN MEDICAL CENTER, LLC
NPI: 1871970574
· ANNANDALE, VA 22003
· 171100000X
$255K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,592 |
$5K |
| 2019 |
5,099 |
$55K |
| 2020 |
7,808 |
$84K |
| 2021 |
6,909 |
$38K |
| 2022 |
4,814 |
$17K |
| 2023 |
6,503 |
$24K |
| 2024 |
3,109 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
17,713 |
9,808 |
$129K |
| 99214 |
|
5,683 |
3,999 |
$101K |
| 99204 |
|
352 |
286 |
$15K |
| 96372 |
|
2,193 |
1,270 |
$3K |
| 93000 |
|
722 |
503 |
$1K |
| J3420 |
Vitamin b12 injection |
4,988 |
3,513 |
$1K |
| 99490 |
Ccm add 20min |
563 |
380 |
$1K |
| 36410 |
|
664 |
444 |
$918.49 |
| 99441 |
|
320 |
172 |
$556.85 |
| G0439 |
Ppps, subseq visit |
110 |
109 |
$449.94 |
| 99070 |
|
341 |
226 |
$427.98 |
| 90756 |
|
181 |
118 |
$417.51 |
| 99211 |
|
81 |
61 |
$316.17 |
| 90656 |
|
17 |
16 |
$173.85 |
| 99483 |
Prolong outpt/office vis |
89 |
60 |
$172.08 |
| 90694 |
|
223 |
214 |
$135.27 |
| 90688 |
|
171 |
123 |
$133.80 |
| 99212 |
|
182 |
178 |
$88.87 |
| G0008 |
Admin influenza virus vac |
543 |
441 |
$55.66 |
| 36415 |
|
60 |
43 |
$55.26 |
| 99072 |
|
72 |
58 |
$30.00 |
| 90662 |
|
31 |
30 |
$21.83 |
| 97110 |
|
60 |
40 |
$7.40 |
| 97140 |
|
57 |
36 |
$4.28 |
| 90686 |
|
14 |
14 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
17 |
16 |
$0.00 |
| 99491 |
Ccm add 20min |
339 |
210 |
$0.00 |
| 99051 |
|
31 |
28 |
$0.00 |
| G0444 |
Depression screen annual |
17 |
16 |
$0.00 |