Managed care
DR. Zhou's Clinic, PLLC
DR. Zhou's Clinic, PLLC was paid $13K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoDR. ZHOU'S CLINIC, PLLC
FAIRFAX, VA 22031
FAIRFAX, VA 22031
33aNPI1063813442assigned 09/04/2014
33bProvider typeExclusive Provider Organization
28Total paid$13K
24GClaims1,050
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Virginia
Rank by total paid#13 of 15
Median peer was paid$131K
This provider vs. median0.1×
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 | 146 | $147.88 | |
| 2019 | 356 | $5K | |
| 2020 | 12 | $76.56 | |
| 2021 | 55 | $1K | |
| 2022 | 132 | $1K | |
| 2023 | 205 | $2K | |
| 2024incomplete | 144 | $2K |
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 | 77% | 603 | 540 | $10K |
| 99349 | 22% | 269 | 213 | $3K | |
| 99348 | <1% | 60 | 37 | $56.89 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 28 | 26 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | 32 | $0.00 |
| 90674 | 0% | 47 | 32 | $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 officialZHOU, HUPING (DIRECTOR)