NP / PA
Clinch Valley Physicians Associates LLC
Clinch Valley Physicians Associates LLC was paid $8.76M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCLINCH VALLEY PHYSICIANS ASSOCIATES LLC
RICHLANDS, VA 24641
RICHLANDS, VA 24641
33aNPI1104265214assigned 06/21/2013
33bProvider typeNurse Practitioner
28Total paid$8.76M
24GClaims248,600
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Virginia
Rank by total paid#1 of 60
Median peer was paid$7K
This provider vs. median1,274×
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.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
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 | 16,171 | $586K | |
| 2019 | 39,640 | $1.37M | |
| 2020 | 36,613 | $1.31M | |
| 2021 | 37,387 | $1.51M | |
| 2022 | 37,419 | $1.66M | |
| 2023 | 30,352 | $1.33M | |
| 2024incomplete | 51,018 | $990K |
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 | 47% | 79,056 | 67,338 | $4.16M |
| 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 | 23% | 28,108 | 25,671 | $2.00M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 5,293 | 5,126 | $396K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 5,614 | 5,051 | $382K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.4% | 1,001 | 856 | $209K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.9% | 888 | 845 | $163K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 11,684 | 10,771 | $142K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 1,660 | 1,617 | $124K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.0% | 2,265 | 2,090 | $88K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12,660 | 11,787 | $84K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 958 | 938 | $78K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,408 | 2,309 | $73K |
94 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,042 | $69K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 701 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,708 | $48K |
| 80053 | Comprehensive metabolic panel | <1% | 5,328 | $45K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 9,682 | $45K |
| 90686 | <1% | 3,894 | $44K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,062 | $43K |
| 90670 | <1% | 3,848 | $43K | |
| 95117 | <1% | 5,128 | $41K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 421 | $37K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 404 | $33K |
| 90680 | <1% | 1,932 | $29K | |
| 90698 | <1% | 2,292 | $24K | |
| 90633 | <1% | 1,722 | $19K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 281 | $12K |
| 70210 | <1% | 659 | $12K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 136 | $12K |
| 90744 | <1% | 824 | $11K | |
| 87428 | <1% | 362 | $11K | |
| 92552 | <1% | 373 | $11K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 96 | $11K |
| 81001 | <1% | 3,527 | $10K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 153 | $10K |
| 90651 | <1% | 716 | $9K | |
| 87807 | <1% | 697 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 754 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 72 | $8K |
| 94060 | <1% | 236 | $8K | |
| 94729 | <1% | 205 | $8K | |
| 94726 | <1% | 204 | $8K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 447 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $7K |
| 81002 | <1% | 2,508 | $7K | |
| 94375 | <1% | 240 | $6K | |
| 86580 | <1% | 784 | $5K | |
| 90734 | <1% | 449 | $5K | |
| 3074F | <1% | 4,853 | $5K | |
| 90715 | <1% | 411 | $5K | |
| 93016 | <1% | 369 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 870 | $5K |
| 90710 | <1% | 374 | $4K | |
| 90700 | <1% | 385 | $4K | |
| 3078F | <1% | 3,823 | $4K | |
| 87400 | <1% | 723 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | $4K |
| 90696 | <1% | 328 | $4K | |
| 93018 | <1% | 353 | $3K | |
| 99407 | <1% | 223 | $3K | |
| 90619 | <1% | 156 | $3K | |
| 90620 | <1% | 170 | $3K | |
| 3079F | <1% | 1,650 | $3K | |
| 94010 | <1% | 110 | $2K | |
| 90672 | <1% | 155 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | $2K |
| 90648 | <1% | 171 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 261 | $2K |
| 3008F | <1% | 12,991 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 172 | $2K |
| 85018 | <1% | 678 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 21 | $2K |
| 85014 | <1% | 661 | $2K | |
| 1036F | <1% | 5,478 | $1K | |
| 90723 | <1% | 105 | $1K | |
| 99173 | <1% | 525 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $1K |
| 76801 | <1% | 15 | $1K | |
| 90716 | <1% | 94 | $1K | |
| 81003 | <1% | 536 | $1K | |
| 90621 | <1% | 65 | $1K | |
| 3077F | <1% | 364 | $1K | |
| 59025 | Fetal non-stress test | <1% | 45 | $1K |
| 90707 | <1% | 67 | $742.56 | |
| 87081 | <1% | 106 | $705.26 | |
| 99460 | <1% | 13 | $606.37 | |
| 85652 | <1% | 248 | $501.94 | |
| 90677 | <1% | 42 | $486.65 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 168 | $482.12 |
| 82950 | <1% | 98 | $477.95 | |
| 90697 | <1% | 26 | $405.00 | |
| 3075F | <1% | 290 | $392.10 | |
| 81025 | <1% | 56 | $352.89 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 152 | $288.92 |
| 90647 | <1% | 19 | $229.30 | |
| 90688 | <1% | 14 | $228.48 | |
| 99406 | <1% | 28 | $214.38 | |
| 90681 | <1% | 12 | $163.58 | |
| 93000 | <1% | 14 | $151.13 | |
| 1126F | <1% | 598 | $138.00 | |
| 1160F | <1% | 2,453 | $125.00 | |
| 1125F | <1% | 184 | $45.00 | |
| 3080F | <1% | 85 | $30.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $28.97 |
| 94760 | <1% | 29 | $20.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 56 | $10.20 |
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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.