Physician
Charles City Medical Group INC
Charles City Medical Group INC was paid $914K by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoCHARLES CITY MEDICAL GROUP INC
RICHMOND, VA 23224
RICHMOND, VA 23224
33aNPI1043267693assigned 05/28/2006
33bProvider typeAdult Medicine Physician
28Total paid$914K
24GClaims49,774
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in Virginia
Rank by total paid#1 of 7
Median peer was paid$3K
This provider vs. median280×
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 | 4,530 | $106K | |
| 2019 | 14,630 | $164K | |
| 2020 | 10,212 | $165K | |
| 2021 | 7,924 | $151K | |
| 2022 | 3,224 | $142K | |
| 2023 | 5,196 | $116K | |
| 2024incomplete | 4,058 | $70K |
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 | 53% | 9,614 | 7,629 | $487K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 5,812 | 4,899 | $254K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 2,575 | 2,081 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 531 | 427 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 517 | 354 | $24K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 94 | 92 | $8K |
| 99442 | <1% | 130 | 112 | $5K | |
| 1159F | <1% | 4,613 | 3,895 | $4K | |
| 99422 | <1% | 234 | 197 | $4K | |
| 82947 | <1% | 1,784 | 1,382 | $4K | |
| 0011A | <1% | 180 | 162 | $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% | 34 | 33 | $3K |
68 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 813 | $3K |
| 3008F | <1% | 1,460 | $3K | |
| 90682 | <1% | 46 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 962 | $2K |
| 3074F | <1% | 1,500 | $2K | |
| 3079F | <1% | 1,091 | $2K | |
| 99497 | <1% | 125 | $1K | |
| 3078F | <1% | 1,089 | $1K | |
| 99490 | Ccm add 20min | <1% | 163 | $1K |
| 3075F | <1% | 530 | $1K | |
| 99493 | <1% | 97 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,028 | $1K |
| 99484 | <1% | 187 | $1K | |
| 96127 | <1% | 244 | $827.87 | |
| 99494 | <1% | 84 | $821.71 | |
| 93000 | <1% | 91 | $780.33 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $517.13 |
| 87428 | <1% | 12 | $480.19 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 92 | $471.58 |
| 1125F | <1% | 2,503 | $450.00 | |
| 1036F | <1% | 895 | $450.00 | |
| 1160F | <1% | 2,672 | $375.00 | |
| 80305 | <1% | 65 | $324.12 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 38 | $281.43 |
| 99406 | <1% | 97 | $279.81 | |
| 81003 | <1% | 138 | $261.06 | |
| 0521F | <1% | 443 | $200.00 | |
| 1000F | <1% | 157 | $200.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 78 | $188.53 |
| 90756 | <1% | 42 | $178.09 | |
| 90658 | <1% | 14 | $145.42 | |
| 99407 | <1% | 17 | $143.22 | |
| 3077F | <1% | 904 | $125.00 | |
| 90688 | <1% | 28 | $120.26 | |
| 99421 | <1% | 22 | $110.77 | |
| 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% | 27 | $53.89 |
| 1126F | <1% | 1,879 | $50.00 | |
| 3017F | <1% | 33 | $50.00 | |
| 96125 | <1% | 27 | $48.00 | |
| 99001 | <1% | 42 | $36.44 | |
| 1090F | <1% | 16 | $25.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 20 | $21.60 |
| 99173 | <1% | 14 | $15.06 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 53 | $0.02 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 66 | $0.00 |
| 3288F | 0% | 154 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 49 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 129 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 54 | $0.00 |
| G9665 | Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | 0% | 375 | $0.00 |
| G9781 | Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) | 0% | 77 | $0.00 |
| 1124F | 0% | 47 | $0.00 | |
| 3725F | 0% | 101 | $0.00 | |
| 4004F | 0% | 17 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 45 | $0.00 |
| 3044F | 0% | 23 | $0.00 | |
| 1170F | 0% | 831 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 270 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 21 | $0.00 |
| 3080F | 0% | 752 | $0.00 | |
| 1034F | 0% | 248 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 125 | $0.00 |
| 1101F | 0% | 258 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 32 | $0.00 |
| 4000F | 0% | 14 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 43 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 25 | $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 officialJOSEPH, LERLA (PRESIDENT/PHYSICIAN)