Physician
Optimum Care LLC
Optimum Care LLC was paid $30K by Medicaid between Jan 2018 and Dec 2021, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoOPTIMUM CARE LLC
STAFFORD, VA 22554
STAFFORD, VA 22554
33aNPI1093075798assigned 05/29/2012
33bProvider typeFamily Medicine Physician
28Total paid$30K
24GClaims1,831
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#293 of 772
Median peer was paid$13K
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 | 435 | $11K | |
| 2021 | 1,396 | $19K |
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 | 36% | 201 | 142 | $11K |
| 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 | 22% | 253 | 188 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 234 | 161 | $5K |
| S9083 | Global fee urgent care centers | 12% | 117 | 88 | $4K |
| 87428 | 8.3% | 66 | 50 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.0% | 195 | 63 | $2K |
| 94760 | <1% | 120 | 75 | $53.80 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | 13 | $49.33 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 62 | 41 | $41.08 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 46 | 28 | $17.33 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 30 | 13 | $0.00 |
| 99050 | 0% | 25 | 20 | $0.00 |
3 more codes
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 officialKABIRI, HAMED (OWNER)