Medicaid Provider Spending

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

CLINCH VALLEY PHYSICIANS ASSOCIATES LLC

NPI: 1104265214 · RICHLANDS, VA 24641 · Nurse Practitioner · NPI assigned 06/21/2013

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$8.76M
Total Medicaid Paid
248,600
Total Claims
217,967
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/21/2013

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 51,018 $990K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79,056 67,338 $4.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,108 25,671 $2.00M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,293 5,126 $396K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,614 5,051 $382K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,001 856 $209K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 888 845 $163K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,684 10,771 $142K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,660 1,617 $124K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,265 2,090 $88K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,660 11,787 $84K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 958 938 $78K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,408 2,309 $73K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,042 990 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 701 625 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,708 1,484 $48K
80053 Comprehensive metabolic panel 5,328 5,032 $45K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,682 6,724 $45K
90686 3,894 3,682 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,062 2,274 $43K
90670 3,848 3,629 $43K
95117 5,128 2,378 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 421 385 $37K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 404 373 $33K
90680 1,932 1,804 $29K
90698 2,292 2,108 $24K
90633 1,722 1,661 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 281 263 $12K
70210 659 640 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 136 129 $12K
90744 824 777 $11K
87428 362 340 $11K
92552 373 364 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple 96 91 $11K
81001 3,527 3,293 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 153 134 $10K
90651 716 681 $9K
87807 697 657 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 754 709 $8K
99215 Prolong outpt/office vis 72 68 $8K
94060 236 212 $8K
94729 205 184 $8K
94726 204 183 $8K
71046 Radiologic examination, chest; 2 views 447 428 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 87 83 $7K
81002 2,508 1,728 $7K
94375 240 213 $6K
86580 784 760 $5K
90734 449 419 $5K
3074F 4,853 4,487 $5K
90715 411 393 $5K
93016 369 350 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 870 752 $5K
90710 374 359 $4K
90700 385 374 $4K
3078F 3,823 3,504 $4K
87400 723 685 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 38 36 $4K
90696 328 315 $4K
93018 353 334 $3K
99407 223 205 $3K
90619 156 154 $3K
90620 170 155 $3K
3079F 1,650 1,538 $3K
94010 110 106 $2K
90672 155 152 $2K
99238 Hospital discharge day management, 30 minutes or less 56 50 $2K
90648 171 170 $2K
80048 Basic metabolic panel (calcium, ionized) 261 233 $2K
3008F 12,991 11,616 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 172 155 $2K
85018 678 664 $2K
76819 Fetal biophysical profile; without non-stress testing 21 12 $2K
85014 661 651 $2K
1036F 5,478 4,594 $1K
90723 105 105 $1K
99173 525 517 $1K
76830 Ultrasound, transvaginal 12 12 $1K
76801 15 15 $1K
90716 94 88 $1K
81003 536 506 $1K
90621 65 62 $1K
3077F 364 329 $1K
59025 Fetal non-stress test 45 39 $1K
90707 67 61 $742.56
87081 106 98 $705.26
99460 13 12 $606.37
85652 248 218 $501.94
90677 42 42 $486.65
90472 Immunization administration, each additional vaccine (list separately) 168 143 $482.12
82950 98 94 $477.95
90697 26 26 $405.00
3075F 290 270 $392.10
81025 56 55 $352.89
36415 Collection of venous blood by venipuncture 152 138 $288.92
90647 19 19 $229.30
90688 14 13 $228.48
99406 28 27 $214.38
90681 12 12 $163.58
93000 14 12 $151.13
1126F 598 559 $138.00
1160F 2,453 2,200 $125.00
1125F 184 170 $45.00
3080F 85 80 $30.00
J0696 Injection, ceftriaxone sodium, per 250 mg 32 27 $28.97
94760 29 27 $20.80
90460 Immunization administration through 18 years of age via any route, first or only component 56 43 $10.20