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

Privia Medical Group, LLC

Privia Medical Group, LLC was paid $81.26M by Medicaid between Jan 2018 and Dec 2024, across 389 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoPRIVIA MEDICAL GROUP, LLC
ARLINGTON, VA 22203
33aNPI1013042480assigned 02/23/2007
28Total paid$81.26M
24GClaims3,633,309
24DCodes billed389
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Virginia

Rank by total paid#1 of 32
Median peer was paid$18K
This provider vs. median4,480×

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$1.0M$2.0M2018201920202021202220232024
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
2018112,415$3.48M
2019125,997$3.60M
2020204,938$7.93M
2021511,680$12.35M
2022791,336$16.48M
20231,012,291$20.16M
2024incomplete874,652$17.25M
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 33% 378,886 319,174 $26.53M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 446,862 385,275 $25.88M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.9% 16,807 16,117 $1.53M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.6% 14,801 13,543 $1.27M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.5% 15,325 13,774 $1.20M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.3% 11,798 11,356 $1.07M
76819 Fetal biophysical profile; without non-stress testing 1.1% 13,414 7,231 $922K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.0% 9,391 7,904 $822K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 9,063 7,405 $812K
76830 Ultrasound, transvaginal <1% 7,983 7,435 $802K
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% 9,028 8,381 $798K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 7,131 6,787 $763K
377 more codes
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 7,073 $746K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 6,573 $746K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,313 $641K
87428 <1% 18,191 $634K
99203 Doctor's office visit, new patient (routine) <1% 9,111 $605K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 6,877 $603K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14,340 $513K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,479 $500K
76820 <1% 12,391 $489K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 37,143 $480K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 14,645 $461K
3074F <1% 199,656 $436K
90686 <1% 21,977 $375K
58558 <1% 282 $331K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,302 $328K
3078F <1% 163,777 $325K
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% 12,044 $315K
1160F <1% 266,140 $310K
1159F <1% 250,444 $307K
99385 <1% 2,269 $276K
3008F <1% 276,600 $272K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 21,392 $267K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 18,769 $257K
1036F <1% 271,040 $229K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,134 $223K
93000 <1% 26,082 $219K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,533 $216K
80061 Lipid panel <1% 20,626 $212K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,101 $205K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 5,105 $198K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,269 $187K
99205 Prolong outpt/office vis <1% 1,899 $184K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,669 $183K
76818 <1% 1,734 $170K
96127 <1% 34,087 $157K
95819 <1% 471 $151K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,530 $150K
99308 Subsequent nursing facility care, per day, straightforward <1% 18,726 $150K
90670 <1% 7,023 $146K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 7,074 $142K
83036 Hemoglobin; glycosylated (A1C) <1% 22,066 $139K
3079F <1% 58,612 $134K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12,121 $119K
80053 Comprehensive metabolic panel <1% 16,946 $118K
99232 Hospital visit by a doctor, follow-up day <1% 5,553 $115K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 789 $113K
99244 Office or other outpatient consultation, moderate to high complexity <1% 633 $106K
92551 <1% 10,529 $99K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 2,542 $98K
99386 <1% 682 $97K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 5,074 $96K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,606 $93K
36415 Collection of venous blood by venipuncture <1% 59,347 $92K
84443 Thyroid stimulating hormone (TSH) <1% 8,302 $87K
99223 Prolong inpt eval add15 m <1% 1,342 $87K
90698 <1% 4,371 $86K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,070 $85K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 39 $84K
3725F <1% 68,978 $80K
80050 General health panel <1% 6,087 $77K
0502F <1% 45,654 $75K
90651 <1% 1,899 $69K
81025 <1% 10,871 $69K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,198 $66K
93015 <1% 1,896 $63K
99459 <1% 3,477 $63K
99310 Prolong nursin fac eval 15m <1% 4,503 $62K
81002 <1% 28,237 $61K
1126F <1% 42,534 $60K
99460 <1% 651 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,035 $58K
3075F <1% 23,601 $57K
G0008 Administration of influenza virus vaccine <1% 2,494 $57K
99222 Initial hospital care, per day, moderate complexity <1% 1,137 $56K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,644 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,807 $52K
3288F <1% 29,930 $49K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,005 $49K
90633 <1% 3,080 $47K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 759 $46K
1034F <1% 35,556 $44K
87807 <1% 3,462 $43K
84439 <1% 6,784 $42K
81003 <1% 24,419 $42K
0011A <1% 1,435 $41K
0012A <1% 1,174 $40K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,443 $39K
76825 <1% 203 $39K
99238 Hospital discharge day management, 30 minutes or less <1% 559 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,434 $38K
76801 <1% 402 $37K
1125F <1% 23,393 $37K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 874 $36K
99173 <1% 14,568 $35K
90834 Psychotherapy session, about 45 minutes <1% 641 $35K
99000 <1% 25,827 $34K
90680 <1% 2,093 $34K
90656 <1% 2,221 $33K
3044F <1% 6,669 $31K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,563 $31K
82607 <1% 2,669 $29K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 390 $29K
90677 <1% 1,169 $29K
94010 <1% 2,030 $28K
94729 <1% 1,308 $27K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,112 $27K
90756 <1% 1,589 $26K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 341 $26K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,347 $26K
0071A <1% 659 $25K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 979 $25K
90716 <1% 1,144 $25K
99174 <1% 4,917 $24K
0072A <1% 585 $23K
82746 <1% 2,135 $23K
3077F <1% 11,808 $22K
1101F <1% 21,939 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,470 $21K
90744 <1% 1,344 $21K
85027 <1% 4,017 $21K
0064A <1% 612 $21K
99306 Prolong nursin fac eval 15m <1% 2,057 $20K
95117 <1% 2,787 $20K
82728 <1% 2,298 $20K
90674 <1% 1,015 $20K
99493 <1% 205 $19K
82962 <1% 11,082 $19K
81001 <1% 7,376 $19K
90707 <1% 1,097 $19K
0002A <1% 515 $19K
H1003 Prenatal care, at-risk enhanced service; education <1% 2,132 $19K
90723 <1% 1,266 $18K
90681 <1% 909 $17K
99442 <1% 523 $16K
94060 <1% 1,354 $15K
90710 <1% 740 $15K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 150 $15K
90619 <1% 490 $14K
94726 <1% 593 $14K
83001 <1% 833 $14K
86803 <1% 1,117 $13K
82670 <1% 580 $13K
90715 <1% 641 $13K
76813 <1% 124 $13K
0001A <1% 367 $13K
84481 <1% 1,096 $12K
99243 <1% 143 $12K
87210 <1% 1,904 $12K
90734 <1% 522 $12K
90697 <1% 652 $12K
83550 <1% 2,202 $12K
80048 Basic metabolic panel (calcium, ionized) <1% 2,577 $12K
3080F <1% 7,855 $12K
90671 <1% 453 $12K
99457 <1% 579 $12K
99177 <1% 2,903 $12K
90648 <1% 939 $12K
84153 <1% 1,016 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 405 $11K
97803 <1% 319 $11K
83002 <1% 655 $11K
99384 <1% 76 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 118 $10K
J2785 Injection, regadenoson, 0.1 mg <1% 126 $9K
83540 <1% 2,237 $9K
99454 <1% 1,026 $9K
99494 <1% 117 $9K
90688 <1% 551 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 204 $9K
85651 <1% 2,932 $9K
99381 <1% 104 $8K
96160 <1% 3,033 $8K
92134 <1% 295 $8K
90837 Psychotherapy session, about an hour <1% 99 $8K
99490 Ccm add 20min <1% 1,299 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 96 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,520 $7K
99072 <1% 1,903 $7K
83655 <1% 638 $7K
0124A <1% 190 $7K
85018 <1% 2,859 $7K
90647 <1% 576 $6K
99406 <1% 480 $6K
99401 <1% 358 $6K
99383 <1% 55 $6K
0134A <1% 251 $6K
51701 <1% 231 $6K
W7000 <1% 1,172 $6K
99402 <1% 180 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,037 $6K
96161 <1% 2,011 $5K
54150 <1% 124 $5K
59025 Fetal non-stress test <1% 202 $5K
99051 <1% 530 $5K
85014 <1% 2,386 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 181 $5K
90696 <1% 331 $5K
0013A <1% 142 $5K
90661 <1% 172 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 109 $5K
83735 <1% 1,017 $5K
69210 <1% 120 $5K
87634 <1% 75 $5K
76857 <1% 109 $4K
97164 <1% 308 $4K
1035F <1% 4,320 $4K
71046 Radiologic examination, chest; 2 views <1% 750 $4K
11721 <1% 332 $4K
98927 <1% 102 $4K
93040 <1% 454 $4K
80305 <1% 485 $4K
84146 <1% 236 $4K
90682 <1% 70 $4K
92228 <1% 169 $4K
0004A <1% 108 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 71 $4K
87340 <1% 510 $4K
86140 <1% 897 $4K
86580 <1% 574 $4K
95012 <1% 264 $4K
84702 <1% 597 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 70 $4K
90685 <1% 327 $4K
90621 <1% 110 $4K
3051F <1% 657 $3K
93325 <1% 203 $3K
80074 <1% 72 $3K
99441 <1% 493 $3K
84550 <1% 829 $3K
99307 <1% 790 $3K
82950 <1% 615 $3K
85610 <1% 1,032 $3K
76821 <1% 39 $3K
92250 <1% 91 $3K
84403 <1% 132 $3K
87481 <1% 93 $3K
98928 <1% 50 $2K
84144 <1% 143 $2K
85730 <1% 748 $2K
3046F <1% 412 $2K
93351 <1% 13 $2K
99318 <1% 116 $2K
99458 <1% 28 $2K
0003A <1% 71 $2K
95115 <1% 222 $2K
96040 <1% 45 $2K
69209 <1% 204 $2K
31231 <1% 14 $2K
99050 <1% 159 $2K
83690 <1% 316 $2K
93922 <1% 19 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 153 $2K
57454 <1% 12 $2K
87631 <1% 21 $2K
90672 <1% 124 $2K
94727 <1% 110 $1K
99305 <1% 45 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 175 $1K
36416 <1% 7,318 $1K
95923 <1% 13 $1K
92504 <1% 92 $1K
64483 <1% 12 $1K
94760 <1% 2,163 $1K
81513 <1% 43 $1K
82150 <1% 238 $1K
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) <1% 350 $1K
90620 <1% 40 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 12 $1K
91320 <1% 15 $1K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 175 $1K
86769 <1% 44 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 327 $1K
3052F <1% 231 $1K
90662 <1% 535 $985.74
97802 <1% 14 $956.13
91319 <1% 14 $921.80
J1030 Injection, methylprednisolone acetate, 40 mg <1% 197 $921.66
99070 <1% 191 $876.55
17250 <1% 17 $832.51
93042 <1% 165 $831.34
86706 <1% 101 $820.61
99334 <1% 109 $813.16
95921 <1% 13 $812.64
86705 <1% 135 $810.00
86709 <1% 133 $785.32
90700 <1% 65 $748.30
58300 <1% 14 $727.43
92587 <1% 43 $714.00
90687 <1% 29 $675.12
82951 <1% 67 $640.94
90480 <1% 27 $636.56
64484 <1% 12 $623.68
91322 <1% 15 $615.65
82947 <1% 250 $603.67
57465 <1% 12 $596.76
82550 <1% 118 $577.44
87430 <1% 52 $570.86
H1000 Prenatal care, at-risk assessment <1% 14 $560.00
98926 <1% 14 $556.70
99496 <1% 15 $547.91
81000 <1% 169 $543.36
90673 <1% 14 $527.93
84480 <1% 50 $523.21
90472 Immunization administration, each additional vaccine (list separately) <1% 547 $501.38
0081A <1% 12 $480.00
0154A <1% 12 $480.00
83721 <1% 59 $473.57
90694 <1% 90 $452.30
0074A <1% 13 $440.00
82977 <1% 75 $435.23
90461 <1% 1,019 $429.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 335 $411.10
88141 <1% 52 $380.69
62323 <1% 13 $378.54
94664 <1% 28 $364.25
87625 <1% 17 $334.40
92202 <1% 26 $329.01
80076 <1% 145 $324.79
92083 <1% 12 $322.66
85652 <1% 141 $304.08
99348 <1% 45 $290.81
77063 Screening digital breast tomosynthesis, bilateral <1% 12 $288.12
92567 <1% 25 $272.27
93356 <1% 27 $221.91
74018 <1% 12 $217.17
J1010 Injection, methylprednisolone acetate, 1 mg <1% 65 $215.47
87808 <1% 20 $206.72
99397 <1% 28 $205.76
82952 <1% 54 $191.68
88142 <1% 13 $186.38
85049 <1% 108 $169.87
92015 Determination of refractive state <1% 15 $163.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 42 $163.15
86308 <1% 37 $152.32
1220F <1% 26 $150.00
0501F <1% 40 $150.00
95251 <1% 160 $149.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 197 $144.47
G0444 Annual depression screening, 5 to 15 minutes <1% 135 $140.43
0503F <1% 229 $130.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 14 $124.44
A7015 Aerosol mask, used with dme nebulizer <1% 105 $97.33
99080 <1% 16 $95.01
93297 <1% 24 $64.15
1100F <1% 830 $50.00
82043 <1% 15 $49.30
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 38 $46.71
99001 <1% 89 $40.00
90474 <1% 15 $28.24
99453 <1% 27 $28.23
2023F <1% 26 $25.00
99439 <1% 63 $22.85
20610 <1% 13 $22.31
A9150 Non-prescription drugs <1% 106 $17.20
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 13 $17.16
85008 <1% 97 $17.14
99335 <1% 40 $12.95
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 178 $12.78
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 27 $6.86
85007 <1% 18 $3.80
91301 <1% 98 $0.73
91307 <1% 92 $0.19
91306 <1% 29 $0.17
91313 <1% 22 $0.16
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 304 $0.08
91312 <1% 17 $0.08
91300 <1% 15 $0.06
99499 <1% 8,029 $0.05
1111F 0% 126 $0.00
2033F 0% 66 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 12 $0.00
2028F 0% 198 $0.00
99188 0% 61 $0.00
99199 Unlisted special service, procedure or report 0% 232 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 0% 150 $0.00
99497 0% 19 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 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 officialFOULKROD, BRIANNA (AVP CREDENTIALING AND ENROLLMENT)