Physician
Foundation Medical LLC
Foundation Medical LLC was paid $756K by Medicaid between Jan 2019 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoFOUNDATION MEDICAL LLC
NORTH CHESTERFIELD, VA 23236
NORTH CHESTERFIELD, VA 23236
33aNPI1003275124assigned 02/17/2016
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$756K
24GClaims14,993
24DCodes billed12
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Virginia
Rank by total paid#2 of 39
Median peer was paid$13K
This provider vs. median57×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 880 | $40K | |
| 2020 | 1,832 | $58K | |
| 2021 | 1,990 | $87K | |
| 2022 | 2,139 | $106K | |
| 2023 | 2,335 | $121K | |
| 2024incomplete | 5,817 | $344K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 76% | 6,900 | 5,174 | $577K |
| 80305 | 10% | 7,195 | 5,163 | $79K | |
| 99205 | Prolong outpt/office vis | 4.9% | 265 | 243 | $37K |
| 95816 | 3.6% | 89 | 83 | $27K | |
| 95957 | 2.4% | 89 | 83 | $18K | |
| 92652 | <1% | 89 | 83 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 40 | 38 | $5K |
| 95930 | <1% | 89 | 83 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 19 | 19 | $2K |
| S8040 | Topographic brain mapping | <1% | 63 | 61 | $1K |
| 93040 | <1% | 89 | 83 | $878.04 | |
| 96146 | <1% | 66 | 64 | $130.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBUNTON, TIMOTHY (OWNER)