WVP MEDICAL GROUP, LLC
NPI: 1922583616
· SALEM, OR 97301
· Multi-Specialty Clinic/Center
· NPI assigned 09/27/2018
$7.55M
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA, MANUEL (CEO) |
| Parent Organization | WVP MEDICAL GROUP, LLC |
| NPI Enumeration Date | 09/27/2018 |
Related Entities
Other providers sharing the same authorized official: RIVERA, MANUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
4,979 |
$411K |
| 2022 |
18,543 |
$1.97M |
| 2023 |
18,345 |
$3.09M |
| 2024 |
12,524 |
$2.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0038 |
Self-help/peer services, per 15 minutes |
52,588 |
13,361 |
$7.51M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
153 |
153 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
73 |
41 |
$6K |
| 90715 |
|
186 |
164 |
$4K |
| 90713 |
|
100 |
100 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
734 |
702 |
$2K |
| 90633 |
|
80 |
80 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
381 |
367 |
$1K |
| 90716 |
|
30 |
30 |
$805.96 |
| 90651 |
|
25 |
25 |
$437.36 |
| 90480 |
|
14 |
14 |
$364.56 |
| 90744 |
|
15 |
15 |
$265.68 |
| 90707 |
|
12 |
12 |
$208.60 |