Medicaid Provider Spending

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

WVP MEDICAL GROUP, LLC

NPI: 1982148789 · SALEM, OR 97306 · Internal Medicine Physician · NPI assigned 12/13/2016

$168K
Total Medicaid Paid
7,755
Total Claims
7,076
Beneficiaries
30
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialANDRETTA, DEAN (CFO)
Parent OrganizationMID VALLEY IPA, INC
NPI Enumeration Date12/13/2016

Related Entities

Other providers sharing the same authorized official: ANDRETTA, DEAN

ProviderCityStateTotal Paid
WVP MEDICAL GROUP, LLC SALEM OR $2.17M
WVP MEDICAL GROUP, LLC KEIZER OR $298K
WVP MEDICAL GROUP, LLC INDEPENDENCE OR $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,965 $103K
2019 1,772 $65K
2021 18 $29.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,927 1,663 $111K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 201 173 $16K
84443 Thyroid stimulating hormone (TSH) 629 595 $7K
80053 Comprehensive metabolic panel 945 878 $6K
80061 Lipid panel 617 589 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 233 228 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 39 26 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 620 585 $3K
83036 Hemoglobin; glycosylated (A1C) 386 363 $2K
36415 Collection of venous blood by venipuncture 1,132 1,028 $2K
80050 General health panel 39 39 $2K
82607 96 93 $1K
82728 89 85 $855.38
84439 95 88 $504.07
84153 41 39 $489.72
82043 130 116 $438.66
99336 16 13 $408.16
82570 130 116 $392.40
90682 15 13 $378.72
87086 Culture, bacterial; quantitative colony count, urine 73 68 $352.50
83550 57 54 $314.27
83540 63 60 $263.33
87088 54 51 $223.38
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15 12 $200.16
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15 12 $200.16
85027 27 25 $135.08
83690 12 12 $72.05
81001 27 24 $45.30
85007 14 12 $32.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 16 $29.64