Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Physical Medicine Associates, LTD

Physical Medicine Associates, LTD was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoPHYSICAL MEDICINE ASSOCIATES, LTD
MC LEAN, VA 22102
33aNPI1003884560assigned 03/10/2006
28Total paid$1.79M
24GClaims62,467
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in Virginia

Rank by total paid#1 of 12
Median peer was paid$21K
This provider vs. median83×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TINCH, SHANEKA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201811,177$221K
20198,698$130K
20209,161$161K
20217,830$238K
20228,107$299K
20239,683$388K
2024incomplete7,811$349K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 34,753 30,095 $1.34M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 13,646 10,881 $283K
64483 2.4% 573 458 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.6% 2,473 1,982 $28K
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% 233 185 $15K
77002 <1% 347 272 $14K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 633 495 $10K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 166 130 $9K
64493 <1% 97 71 $8K
20610 <1% 184 136 $5K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 649 533 $3K
J3490 Unclassified drugs <1% 1,409 1,084 $3K
19 more codes
99203 Doctor's office visit, new patient (routine) <1% 51 $2K
64494 <1% 103 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 742 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 194 $2K
20553 <1% 52 $2K
J1020 Injection, methylprednisolone acetate, 20 mg <1% 950 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,551 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 366 $1K
64495 <1% 57 $885.60
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 2,498 $803.88
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 88 $717.66
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 22 $597.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 96 $429.49
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 64 $88.99
99406 <1% 104 $49.74
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 281 $26.63
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 35 $24.77
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 38 $0.02

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 officialTINCH, SHANEKA (RCM MANAGER)
Same official

Other billing entities under TINCH, SHANEKA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.