Medicaid Provider Spending

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

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI: 1982679874 · SMITHFIELD, VA 23430 · State or Local Public Health Clinic/Center · NPI assigned 02/22/2006

$14K
Total Medicaid Paid
832
Total Claims
810
Beneficiaries
9
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTILLERY, ANGELA (BUSINESS MANAGER)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: TILLERY, ANGELA

ProviderCityStateTotal Paid
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH SUFFOLK VA $389K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH FRANKLIN VA $83K
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH COURTLAND VA $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $522.82
2019 27 $342.91
2020 423 $5K
2021 115 $1K
2022 38 $3K
2023 59 $855.76
2024 133 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 337 326 $5K
G9002 Coordinated care fee, maintenance rate 38 38 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 203 198 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 96 95 $1K
81025 88 85 $610.75
90619 22 22 $242.00
90651 18 18 $198.00
90715 14 13 $174.84
81003 16 15 $31.61