Medicaid Provider Spending

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

UVA PRINCE WILLIAM MEDICAL CENTER

NPI: 1124369137 · HAYMARKET, VA 20169 · General Acute Care Hospital · NPI assigned 03/15/2013

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

Authorized official CODER, CHARLES controls 20+ related entities in our dataset. Read more

$10.85M
Total Medicaid Paid
225,192
Total Claims
167,559
Beneficiaries
140
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCODER, CHARLES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date03/15/2013

Related Entities

Other providers sharing the same authorized official: CODER, CHARLES

ProviderCityStateTotal Paid
UVA CULPEPER MEDICAL CENTER CULPEPER VA $53.94M
UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS VA $45.36M
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $2.20M
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC CHARLOTTESVILLE VA $671K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $604K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC RICHMOND VA $284K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC BRISTOW VA $104K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $100K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC CULPEPER VA $98K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $90K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC BRISTOW VA $88K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC GAINESVILLE VA $84K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $71K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC WINCHESTER VA $65K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $60K
UVA CULPEPER MEDICAL CENTER CULPEPER VA $42K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC HAYMARKET VA $38K
CULPEPER SURGERY CENTER LLC CULPEPER VA $33K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC WARRENTON VA $28K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,188 $667K
2019 31,351 $1.03M
2020 27,719 $850K
2021 35,526 $1.06M
2022 40,078 $1.91M
2023 37,460 $3.09M
2024 30,870 $2.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,690 9,576 $2.40M
99284 Emergency department visit for the evaluation and management, high severity 9,274 8,157 $2.28M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,828 4,258 $1.41M
96361 Intravenous infusion, hydration; each additional hour 4,198 3,555 $936K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,577 2,328 $741K
70450 Computed tomography, head or brain; without contrast material 2,218 1,972 $536K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,446 2,164 $479K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,044 2,859 $342K
G0378 Hospital observation service, per hour 2,133 960 $255K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,020 895 $178K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 215 170 $141K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,198 965 $135K
71275 Computed tomographic angiography, chest, with contrast material 364 337 $127K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,596 421 $95K
76705 Ultrasound, abdominal, real time with image documentation; limited 603 557 $78K
74176 Computed tomography, abdomen and pelvis; without contrast material 237 214 $77K
99281 Emergency department visit for the evaluation and management, self-limited or minor 195 185 $65K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,140 947 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,008 884 $53K
41899 Unlisted procedure, dentoalveolar structures 44 36 $48K
71046 Radiologic examination, chest; 2 views 2,110 1,895 $46K
80053 Comprehensive metabolic panel 11,405 9,608 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,100 1,887 $39K
77067 Screening mammography, bilateral, including computer-aided detection 547 527 $31K
76830 Ultrasound, transvaginal 235 221 $26K
76642 128 116 $26K
77063 Screening digital breast tomosynthesis, bilateral 405 391 $25K
J3490 Unclassified drugs 29,290 9,614 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 94 92 $19K
80048 Basic metabolic panel (calcium, ionized) 3,041 2,227 $16K
97161 159 151 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,596 3,838 $9K
71045 Radiologic examination, chest; single view 3,999 3,490 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,030 9,949 $6K
87420 301 279 $6K
J7030 Infusion, normal saline solution , 1000 cc 7,923 6,159 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $5K
84484 4,168 2,907 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling 155 148 $5K
J8597 Antiemetic drug, oral, not otherwise specified 964 848 $4K
72125 Computed tomography, cervical spine; without contrast material 172 166 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 13 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 941 824 $4K
85027 2,701 2,027 $3K
93971 15 15 $3K
76770 14 12 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 29 12 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,651 969 $3K
76536 13 12 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 180 160 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,517 5,626 $2K
80299 436 346 $2K
87040 322 180 $2K
85379 506 460 $2K
80143 254 220 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 117 110 $2K
77062 16 16 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 13 12 $2K
87631 128 118 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,561 4,427 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 112 94 $1K
96375 Therapeutic injection; each additional sequential IV push 5,159 4,073 $1K
87086 Culture, bacterial; quantitative colony count, urine 2,873 2,518 $1K
82962 1,193 654 $1K
74018 57 53 $1K
73630 115 107 $1K
81001 2,738 2,418 $987.32
73030 40 36 $973.34
83735 3,599 2,770 $968.25
J2250 Injection, midazolam hydrochloride, per 1 mg 2,194 1,803 $878.41
80179 283 250 $871.65
J0131 Injection, acetaminophen, not otherwise specified,10 mg 117 93 $855.48
77066 Tomosynthesis, mammo 17 17 $768.02
J1885 Injection, ketorolac tromethamine, per 15 mg 4,494 3,686 $743.99
84443 Thyroid stimulating hormone (TSH) 284 256 $691.30
85610 1,671 1,420 $624.62
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 12 $573.29
J7120 Ringers lactate infusion, up to 1000 cc 2,644 1,950 $567.62
97165 14 14 $551.30
73610 66 63 $521.38
81003 2,710 2,429 $508.62
83690 3,631 3,109 $467.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,080 962 $463.27
96376 1,817 1,132 $443.50
84703 2,219 2,037 $440.19
73564 33 29 $426.31
83880 276 241 $417.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,473 2,025 $411.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,609 3,675 $404.36
J2270 Injection, morphine sulfate, up to 10 mg 2,536 1,904 $360.07
81025 1,688 1,529 $335.92
36415 Collection of venous blood by venipuncture 169 149 $332.49
83036 Hemoglobin; glycosylated (A1C) 113 102 $271.95
87430 772 713 $240.20
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 16 13 $205.66
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 18 16 $205.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,978 1,554 $194.15
86901 404 306 $191.12
J3010 Injection, fentanyl citrate, 0.1 mg 2,386 1,681 $188.05
83605 540 431 $170.01
84702 301 256 $153.89
87070 806 739 $153.18
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $143.51
J7050 Infusion, normal saline solution, 250 cc 1,682 778 $137.57
86900 203 155 $135.65
88342 103 77 $115.73
85730 259 244 $102.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 428 412 $93.16
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $70.98
73562 14 12 $70.54
87150 22 14 $57.99
J0690 Injection, cefazolin sodium, 500 mg 881 614 $49.63
J2704 Injection, propofol, 10 mg 3,272 2,553 $47.02
87186 331 288 $46.76
87081 229 187 $35.39
J1200 Injection, diphenhydramine hcl, up to 50 mg 568 478 $33.33
82150 194 176 $26.34
85007 13 13 $21.78
86850 15 14 $19.04
87205 23 14 $15.25
J1170 Injection, hydromorphone, up to 4 mg 495 305 $14.89
82550 31 29 $12.36
J0696 Injection, ceftriaxone sodium, per 250 mg 483 369 $12.21
A9270 Non-covered item or service 3,778 677 $6.12
J2765 Injection, metoclopramide hcl, up to 10 mg 122 108 $4.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 15 13 $2.70
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 12 $2.07
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 234 199 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 424 295 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 142 102 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 86 80 $0.00
88360 15 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 18 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 14 13 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 20 12 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 82 42 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 290 275 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 60 54 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $0.00
A9585 Injection, gadobutrol, 0.1 ml 45 41 $0.00