Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Specialty Physicians of Northern Virginia, LLC

Specialty Physicians of Northern Virginia, LLC was paid $49K by Medicaid between Jun 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoSPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
DULLES, VA 20166
33aNPI1114157054assigned 07/24/2009
33bProvider typeSurgery Physician
28Total paid$49K
24GClaims991
24DCodes billed5
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers

Next to other Surgery Physician providers in Virginia

Rank by total paid#13 of 50
Median peer was paid$3K
This provider vs. median17×

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 BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201812$33.16
2019153$7K
202073$4K
202126$1K
2022241$13K
2023350$19K
2024incomplete136$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88% 851 729 $43K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 99 87 $6K
81025 <1% 13 12 $46.02
81002 <1% 12 12 $33.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 16 13 $20.40

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 officialBERGAMO, SUZANNE (VP)
Same official

Other billing entities under BERGAMO, SUZANNE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.