Professional Health Care, INC.
Professional Health Care, INC. was paid $109K by Medicaid between Jan 2018 and Nov 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoPROFESSIONAL HEALTH CARE, INC.
PETERSBURG, VA 23803
PETERSBURG, VA 23803
33aNPI1083754790assigned 02/08/2007
33bProvider typeSpecialist
28Total paid$109K
24GClaims4,181
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#86 of 231
Median peer was paid$47K
This provider vs. median2.3×
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 | 1,099 | $26K | |
| 2019 | 1,020 | $22K | |
| 2020 | 1,281 | $32K | |
| 2021 | 781 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 2,070 | 1,697 | $63K |
| 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 | 41% | 973 | 840 | $45K |
| 36415 | Collection of venous blood by venipuncture | <1% | 994 | 865 | $971.65 |
| 82962 | <1% | 115 | 95 | $177.07 | |
| 96127 | <1% | 12 | 12 | $53.88 | |
| 3080F | <1% | 17 | 14 | $1.10 |
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 officialHILL, MELISSIA (PRACTICE MANAGER)