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

Evms Academic Physicians and Surgeons Health Services Foundation

Evms Academic Physicians and Surgeons Health Services Foundation was paid $33.13M by Medicaid between Jan 2018 and Dec 2024, across 153 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoEVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
NORFOLK, VA 23508
33aNPI1003887118assigned 01/27/2006
33bProvider typeDermatology Physician
28Total paid$33.13M
24GClaims588,193
24DCodes billed153
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dermatology Physician providers in Virginia

Rank by total paid#2 of 54
Median peer was paid$23K
This provider vs. median1,415×

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

$0$250K$500K$750K2018201920202021202220232024
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
201856,757$2.54M
201997,710$4.73M
202083,697$4.47M
202191,219$5.11M
202288,261$5.22M
202393,679$6.08M
2024incomplete76,870$4.97M
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 25% 130,525 114,463 $8.14M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10% 38,940 33,505 $3.46M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 10.0% 23,603 21,887 $3.30M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.4% 72,667 62,424 $3.11M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.6% 64,373 26,428 $2.18M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5.0% 22,205 20,271 $1.66M
59025 Fetal non-stress test 4.9% 44,128 26,585 $1.64M
99223 Prolong inpt eval add15 m 3.0% 10,630 9,345 $995K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.5% 15,695 6,891 $814K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2.2% 11,155 9,378 $721K
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 1.8% 6,451 5,861 $597K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.6% 6,939 6,369 $522K
141 more codes
76825 1.5% 2,490 $502K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.1% 537 $358K
76830 Ultrasound, transvaginal 1.1% 3,629 $348K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 11,293 $325K
76820 <1% 8,756 $307K
99215 Doctor's office visit, returning patient (complex) <1% 2,996 $282K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 162 $271K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 10,359 $235K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 4,850 $232K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,640 $224K
99203 Doctor's office visit, new patient (routine) <1% 3,167 $196K
31231 <1% 1,424 $173K
99284 Emergency room visit (serious) <1% 2,213 $148K
76827 <1% 2,472 $135K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 264 $132K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,079 $116K
99222 Initial hospital care, per day, moderate complexity <1% 1,500 $113K
99238 Hospital discharge day management, 30 minutes or less <1% 3,055 $110K
76821 <1% 1,741 $109K
99239 Hospital discharge day management, more than 30 minutes <1% 1,633 $104K
59410 <1% 112 $96K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,770 $96K
59510 <1% 50 $76K
76801 <1% 736 $73K
96910 <1% 1,056 $69K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,226 $61K
90837 Psychotherapy session, about an hour <1% 710 $59K
59515 <1% 66 $58K
99234 <1% 661 $55K
93325 <1% 2,991 $51K
54150 <1% 790 $49K
90674 <1% 2,010 $48K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,077 $47K
31575 <1% 605 $44K
59514 <1% 59 $43K
92557 <1% 1,608 $39K
81025 <1% 5,601 $38K
31579 <1% 302 $37K
83036 Hemoglobin; glycosylated (A1C) <1% 5,020 $33K
99205 Prolong outpt/office vis <1% 249 $32K
77427 <1% 340 $32K
82962 <1% 16,463 $31K
92567 <1% 2,733 $29K
11900 <1% 968 $29K
95886 <1% 242 $24K
77014 <1% 807 $21K
99235 <1% 138 $15K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 14 $14K
90715 <1% 481 $14K
90688 <1% 1,264 $14K
99283 Emergency room visit (moderate) <1% 328 $14K
90870 <1% 170 $13K
64643 <1% 328 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,774 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 122 $10K
92504 <1% 533 $10K
96127 <1% 1,942 $9K
81002 <1% 3,442 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 100 $8K
92587 <1% 503 $7K
90838 <1% 96 $7K
99310 Prolong nursin fac eval 15m <1% 324 $6K
90686 <1% 556 $6K
90661 <1% 258 $6K
99459 <1% 439 $5K
59430 <1% 25 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 483 $5K
90791 Psychiatric diagnostic evaluation <1% 40 $5K
20552 <1% 194 $5K
11102 <1% 85 $4K
51729 <1% 12 $4K
88312 <1% 46 $3K
90677 <1% 15 $3K
76857 <1% 76 $3K
99285 Emergency room visit (most serious) <1% 31 $3K
99443 <1% 128 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,129 $3K
62369 <1% 145 $3K
99442 <1% 196 $3K
90732 <1% 20 $3K
64644 <1% 70 $3K
81003 <1% 1,254 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 32 $2K
90658 <1% 239 $2K
95251 <1% 95 $2K
93976 <1% 16 $2K
11982 <1% 20 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 29 $2K
90853 Group psychotherapy (other than of a multiple-family group) <1% 201 $2K
95874 <1% 102 $2K
92083 <1% 103 $2K
51797 <1% 12 $2K
92133 <1% 98 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 316 $1K
92552 <1% 51 $1K
92546 <1% 14 $1K
90756 <1% 49 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 324 $1K
64642 <1% 12 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 46 $1K
58100 <1% 12 $1K
36415 Collection of venous blood by venipuncture <1% 586 $1K
92540 <1% 13 $1K
62370 <1% 26 $1K
76942 <1% 36 $960.98
17110 <1% 14 $946.22
92626 <1% 14 $941.72
64425 <1% 26 $929.55
99201 <1% 27 $899.24
99423 <1% 24 $897.53
92556 <1% 29 $874.58
77263 <1% 17 $835.50
11100 <1% 16 $810.41
99221 <1% 13 $699.05
0002A <1% 75 $694.41
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 32 $548.04
92579 <1% 15 $511.48
93308 <1% 32 $498.04
95806 <1% 13 $487.51
76604 <1% 29 $456.01
51784 <1% 17 $407.67
92015 Determination of refractive state <1% 48 $402.08
20553 <1% 14 $377.61
92537 <1% 13 $361.01
77080 <1% 13 $343.56
99441 <1% 46 $338.51
92250 <1% 13 $163.53
93000 <1% 13 $160.32
51741 <1% 37 $141.78
99308 Subsequent nursing facility care, per day, straightforward <1% 16 $125.40
90472 Immunization administration, each additional vaccine (list separately) <1% 21 $109.10
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 28 $96.74
99490 Ccm add 20min <1% 12 $95.23
77003 <1% 63 $84.87
0001A <1% 17 $70.31
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) <1% 17 $56.98
G0008 Administration of influenza virus vaccine <1% 119 $48.27
J3490 Unclassified drugs <1% 230 $37.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 38 $0.31
G0444 Annual depression screening, 5 to 15 minutes 0% 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 14 $0.00

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 officialLIND, JAMES (CHIEF EXECUTIVE OFFICER)