Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › MANASSAS › AMITY HEALTH INC

AMITY HEALTH INC

NPI: 1881128544 · MANASSAS, VA 20110 · Community/Retail Pharmacy · NPI assigned 04/19/2017

$714.70
Total Medicaid Paid
125
Total Claims
104
Beneficiaries
2
Codes Billed
2021-12
First Month
2022-01
Last Month

Provider Details

Authorized OfficialVANTIKOMMU, VASUMATHI (PHARMACY OWNER/MANAGER)
NPI Enumeration Date04/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 82 $637.16
2022 43 $77.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54 47 $683.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 71 57 $30.72