Medicaid Provider Spending

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

PREMIUM HEALTHCARE LLC

NPI: 1982379590 · VIENNA, VA 22182 · Wound Care Registered Nurse · NPI assigned 08/16/2021

$8K
Total Medicaid Paid
440
Total Claims
354
Beneficiaries
3
Codes Billed
2021-09
First Month
2022-01
Last Month

Provider Details

Authorized OfficialSONG, DANIEL (OWNER)
NPI Enumeration Date08/16/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 366 $6K
2022 74 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 205 172 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 184 139 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 51 43 $46.08