MAT SU VALLEY MEDICAL CENTER LLC
NPI: 1912950148
· WASILLA, AK 99654
· 207R00000X
$1.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,296 |
$322K |
| 2019 |
4,497 |
$336K |
| 2020 |
3,362 |
$225K |
| 2021 |
3,910 |
$243K |
| 2022 |
3,583 |
$256K |
| 2023 |
3,749 |
$246K |
| 2024 |
3,508 |
$322K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
20,915 |
18,147 |
$1.67M |
| 97597 |
|
1,293 |
687 |
$69K |
| 99214 |
|
489 |
481 |
$69K |
| 11042 |
|
1,333 |
546 |
$65K |
| 99212 |
|
381 |
311 |
$16K |
| 99202 |
|
196 |
187 |
$16K |
| 99203 |
|
130 |
125 |
$16K |
| 87811 |
|
391 |
343 |
$13K |
| 87880 |
|
850 |
804 |
$12K |
| 87426 |
|
266 |
235 |
$4K |
| 87635 |
|
15 |
15 |
$667.03 |
| 87804 |
|
15 |
15 |
$426.13 |
| 97598 |
|
19 |
12 |
$138.61 |
| J3490 |
Drugs unclassified injection |
23 |
15 |
$39.90 |
| 3008F |
|
217 |
140 |
$0.00 |
| 1036F |
|
137 |
84 |
$0.00 |
| 99232 |
|
39 |
12 |
$0.00 |
| 99238 |
|
13 |
13 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
43 |
40 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
14 |
14 |
$0.00 |
| 99231 |
|
64 |
26 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
62 |
43 |
$0.00 |