Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ELY › ESSENTIA HEALTH VIRGINIA, LLC

ESSENTIA HEALTH VIRGINIA, LLC

NPI: 1962440362 · ELY, MN 55731 · Multi-Specialty Clinic/Center · NPI assigned 06/04/2006

$1K
Total Medicaid Paid
431
Total Claims
365
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialNIKCEVICH, DANIEL (PRESIDENT)
Parent OrganizationSMDC HEALTH SYSTEM
NPI Enumeration Date06/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 431 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 243 200 $1K
36415 Collection of venous blood by venipuncture 107 90 $41.86
80048 Basic metabolic panel (calcium, ionized) 13 13 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 68 62 $0.00