Physician
Providence Family & Sports Medicine, INC
Providence Family & Sports Medicine, INC was paid $464K by Medicaid between Jan 2018 and Aug 2023, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoPROVIDENCE FAMILY & SPORTS MEDICINE, INC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1053403378assigned 09/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$464K
24GClaims17,878
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#74 of 772
Median peer was paid$13K
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 | 2,775 | $39K | |
| 2019 | 4,496 | $94K | |
| 2020 | 3,643 | $98K | |
| 2021 | 3,123 | $87K | |
| 2022 | 2,528 | $88K | |
| 2023 | 1,313 | $57K |
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 | 66% | 6,753 | 5,297 | $307K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,805 | 2,392 | $111K |
| 99401 | 5.3% | 2,383 | 2,040 | $24K | |
| 96127 | 1.1% | 1,377 | 1,162 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 366 | 278 | $4K |
| 81003 | <1% | 1,548 | 1,325 | $2K | |
| 99406 | <1% | 351 | 282 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 272 | 230 | $2K |
| 90686 | <1% | 171 | 139 | $2K | |
| 82947 | <1% | 766 | 621 | $2K | |
| 90674 | <1% | 47 | 44 | $1K | |
| 0012A | <1% | 23 | 20 | $666.00 |
8 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 276 | $305.34 |
| 0011A | <1% | 23 | $248.65 | |
| 99072 | <1% | 214 | $243.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 139 | $216.91 |
| 99441 | <1% | 43 | $138.12 | |
| 80305 | <1% | 16 | $135.58 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 258 | $9.20 |
| 91301 | <1% | 47 | $0.30 |
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 officialWOOD, LISA (OFFICE MANAGER)