Planas and Associates,md,pc

Planas and Associates,md,pc was paid $472K by Medicaid between Jan 2018 and Oct 2021, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 26% of everything it billed.

33Billing provider infoPLANAS AND ASSOCIATES,MD,PC
NORFOLK, VA 23510

33aNPI1063443471assigned 07/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$472K

24GClaims24,178

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#73 of 772

Median peer was paid$13K

This provider vs. median36×

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	8,281	$96K
2019	7,278	$153K
2020	5,851	$143K
2021	2,768	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	26%	3,531	1,039	$122K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	24%	4,870	1,499	$115K
99309	Subsequent nursing facility care, per day, low to moderate complexity	22%	12,356	6,260	$103K
99223	Prolong inpt eval add15 m	20%	1,452	1,052	$97K
99222	Initial hospital care, per day, moderate complexity	4.7%	351	293	$22K
99308	Subsequent nursing facility care, per day, straightforward	1.3%	1,181	595	$6K
99238	Hospital discharge day management, 30 minutes or less	1.1%	212	158	$5K
99225		<1%	37	28	$1K
99239	Hospital discharge day management, more than 30 minutes	<1%	18	14	$499.64
99310	Prolong nursin fac eval 15m	<1%	94	52	$290.90
99306	Prolong nursin fac eval 15m	<1%	26	15	$228.06
99318		<1%	50	31	$212.08

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 officialPLANAS, ROQUE (OWNER)