Physician
Virginia Medical Specialist, PLC
Virginia Medical Specialist, PLC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoVIRGINIA MEDICAL SPECIALIST, PLC
CHESAPEAKE, VA 23320
CHESAPEAKE, VA 23320
33aNPI1003931981assigned 03/20/2007
33bProvider typePulmonary Disease Physician
28Total paid$1.06M
24GClaims46,796
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#4 of 34
Median peer was paid$31K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2018 | 3,576 | $54K | |
| 2019 | 6,544 | $117K | |
| 2020 | 5,988 | $155K | |
| 2021 | 8,697 | $202K | |
| 2022 | 7,836 | $191K | |
| 2023 | 7,390 | $183K | |
| 2024incomplete | 6,765 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 11,762 | 9,435 | $347K |
| 94729 | 19% | 7,604 | 6,490 | $202K | |
| 94726 | 15% | 6,763 | 5,838 | $163K | |
| 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 | 15% | 3,497 | 2,908 | $157K |
| 94010 | 8.3% | 7,005 | 5,962 | $88K | |
| 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 | 5.2% | 749 | 639 | $55K |
| 94618 | 1.5% | 958 | 836 | $16K | |
| 94060 | 1.4% | 507 | 449 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 611 | 488 | $6K |
| 94644 | <1% | 207 | 167 | $5K | |
| 94727 | <1% | 458 | 353 | $5K | |
| 94728 | <1% | 298 | 252 | $2K |
8 more codes
| 94070 | <1% | 27 | $1K | |
| 95070 | <1% | 27 | $568.73 | |
| J7674 | Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg | <1% | 28 | $379.84 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 142 | $21.96 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 93 | $8.94 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $0.51 |
| J7633 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram | <1% | 71 | $0.28 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 5,975 | $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 officialSILVA, CARLOS (OWNER)
Parent organizationVIRGINIA MEDICAL SPECIALIST, PLC