Medicaid Provider Spending

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

FAIRFAX LOUDOUN OBGYN, INC

NPI: 1922356054 · FAIRFAX, VA 22030 · Interventional Cardiology Physician · NPI assigned 08/21/2012

$26K
Total Medicaid Paid
323
Total Claims
296
Beneficiaries
3
Codes Billed
2020-06
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMUFTI, SHAWANA (OWNER)
NPI Enumeration Date08/21/2012

Related Entities

Other providers sharing the same authorized official: MUFTI, SHAWANA

ProviderCityStateTotal Paid
OBGYN CONSULTANTS OF FAIRFAX VA LLC GREAT FALLS VA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 70 $7K
2021 142 $10K
2022 13 $1K
2023 43 $3K
2024 55 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 197 176 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 87 81 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39 39 $2K