Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VIRGINIA PAC SERVICES PC

NPI: 1073042800 · ABINGDON, VA 24211 · Hospitalist Physician · NPI assigned 06/06/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official UPPAL, ROHIT controls 12+ related entities in our dataset. Read more

$3.99M
Total Medicaid Paid
513,843
Total Claims
313,515
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPPAL, ROHIT (PRESIDENT)
NPI Enumeration Date06/06/2017

Related Entities

Other providers sharing the same authorized official: UPPAL, ROHIT

ProviderCityStateTotal Paid
INPATIENT CONSULTANTS OF FLORIDA, INC ORANGE PARK FL $6.30M
HOSPITAL MEDICINE ASSOCIATES LLC BATON ROUGE LA $4.01M
HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA PENSACOLA FL $3.28M
NEW MEXICO PAC SERVICES PC SANTA FE NM $3.16M
EASTSIDE HOSPITALISTS INC HOLLYWOOD FL $2.09M
DHP OF MANATEE PA MANGONIA PARK FL $1.56M
WASHINGTON PAC SERVICES PC SPOKANE WA $1.22M
WEST PALM BEACH PHYSICIAN GROUP INC BOCA RATON FL $173K
NORTHEAST FLORIDA HOSPITALISTS INC DELRAY BEACH FL $131K
NORTH BROWARD HOSPITALIST INC FORT LAUDERDALE FL $37K
WESTSIDE HOSPITALIST INC FORT LAUDERDALE FL $11K
MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION HOLLY SPRINGS MS $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111,981 $520K
2019 124,805 $797K
2020 111,033 $836K
2021 75,928 $509K
2022 42,598 $437K
2023 25,297 $401K
2024 22,201 $492K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 206,430 122,641 $2.11M
99308 Subsequent nursing facility care, per day, straightforward 145,833 77,814 $994K
90792 Psychiatric diagnostic evaluation with medical services 11,702 9,582 $386K
90832 Psychotherapy, 30 minutes with patient 20,189 8,205 $292K
99336 2,289 1,331 $36K
90791 Psychiatric diagnostic evaluation 849 761 $33K
99306 Prolong nursin fac eval 15m 1,614 1,205 $31K
99307 6,441 4,375 $28K
99305 2,263 1,491 $23K
99335 3,029 1,537 $21K
99310 Prolong nursin fac eval 15m 739 528 $14K
90834 Psychotherapy, 45 minutes with patient 351 201 $11K
99334 820 455 $5K
99349 237 175 $4K
99318 431 325 $3K
90837 Psychotherapy, 53 minutes with patient 399 107 $2K
99443 71 35 $788.56
99442 41 28 $482.13
99497 27 26 $384.13
99304 23 13 $290.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 59,711 39,148 $229.93
99406 96 49 $58.92
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 24 12 $54.15
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 14 13 $52.02
99315 17 13 $50.39
1036F 1,249 1,157 $0.30
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 5,288 5,007 $0.00
1123F 14,455 12,841 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,248 1,156 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 229 211 $0.00
G8967 Fda approved oral anticoagulant is prescribed 15 12 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 17 17 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 38 28 $0.00
1100F 6,162 5,264 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 579 479 $0.00
0518F 6,218 5,350 $0.00
3288F 6,057 5,189 $0.00
G8482 Influenza immunization administered or previously received 6,002 4,695 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 194 153 $0.00
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) 1,692 1,314 $0.00
G9692 Hospice services received by patient any time during the measurement period 67 61 $0.00
3045F 105 83 $0.00
1124F 360 288 $0.00
G8484 Influenza immunization was not administered, reason not given 184 96 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 30 30 $0.00