Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › GROTTOES › SOUTH RIVER MEDICAL CLINIC, LLC

SOUTH RIVER MEDICAL CLINIC, LLC

NPI: 1922381789 · GROTTOES, VA 24441 · Primary Care Clinic/Center · NPI assigned 09/27/2011

$11K
Total Medicaid Paid
259
Total Claims
231
Beneficiaries
1
Codes Billed
2019-03
First Month
2021-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, ANNA (OFFICE MANAGER)
NPI Enumeration Date09/27/2011

Related Entities

Other providers sharing the same authorized official: WILLIAMS, ANNA

ProviderCityStateTotal Paid
BARNSTEAD ELEMENTARY SCHOOL CTR. BARNSTEAD NH $297K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 105 $5K
2020 97 $4K
2021 57 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 259 231 $11K