Samuels, Garfield

Samuels, Garfield was paid $408K by Medicaid between Jan 2018 and Jan 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoSAMUELS, GARFIELD
VIRGINIA BEACH, VA 23462

33aNPI1083654669assigned 06/08/2006

33bProvider typeInternal Medicine Physician

28Total paid$408K

24GClaims14,613

24DCodes billed12

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#55 of 478

Median peer was paid$17K

This provider vs. median24×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (12/20/2023).

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	4,584	$115K
2019	5,316	$122K
2020	2,507	$92K
2021	1,487	$48K
2022	702	$31K
2023	17	$0.00

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	63%	6,799	5,716	$256K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	4,905	4,233	$122K
99308	Subsequent nursing facility care, per day, straightforward	3.3%	1,509	1,130	$14K
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%	75	65	$4K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	350	244	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	72	67	$3K
99306	Prolong nursin fac eval 15m	<1%	54	46	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	119	118	$1K
99307		<1%	181	141	$936.30
36415	Collection of venous blood by venipuncture	<1%	503	450	$606.97
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	<1%	31	26	$284.37
99310	Prolong nursin fac eval 15m	<1%	15	13	$54.60

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.