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

Child Adolescent Health Associates of the New River Valley PC

Child Adolescent Health Associates of the New River Valley PC was paid $5.46M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoCHILD ADOLESCENT HEALTH ASSOCIATES OF THE NEW RIVER VALLEY PC
RADFORD, VA 24141
33aNPI1144239039assigned 08/07/2006
33bProvider typePediatrics Physician
28Total paid$5.46M
24GClaims140,333
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#25 of 817
Median peer was paid$29K
This provider vs. median187×

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

$0$50K$100K$150K2018201920202021202220232024
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
20183,273$123K
201921,665$807K
202019,114$667K
202123,581$871K
202226,407$1.08M
202327,072$1.05M
2024incomplete19,221$868K
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 38% 33,902 31,339 $2.06M
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% 14,611 13,440 $1.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.5% 6,570 6,413 $521K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.7% 5,601 5,311 $419K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 2,299 2,261 $180K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.2% 3,501 3,341 $118K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 7,373 6,910 $96K
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 1.6% 1,437 1,354 $90K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.6% 2,909 2,760 $85K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 5,653 2,996 $83K
90670 1.3% 3,189 3,112 $68K
90686 1.2% 5,570 5,436 $64K
39 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 649 $56K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 14,770 $53K
92551 <1% 4,627 $46K
90677 <1% 586 $32K
90723 <1% 2,172 $31K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 209 $26K
90647 <1% 2,201 $26K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,087 $22K
99188 <1% 837 $18K
90461 <1% 7,894 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,895 $17K
96127 <1% 2,189 $11K
90681 <1% 620 $10K
90716 <1% 379 $8K
90707 <1% 460 $7K
87807 <1% 561 $7K
90633 <1% 493 $6K
99173 <1% 2,128 $5K
99072 <1% 1,376 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 106 $5K
90651 <1% 135 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 121 $4K
90734 <1% 96 $3K
90656 <1% 223 $3K
0071A <1% 53 $2K
99177 <1% 446 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 758 $1K
0002A <1% 25 $960.00
0072A <1% 28 $920.00
90696 <1% 44 $571.85
0001A <1% 15 $560.00
85018 <1% 166 $384.27
90715 <1% 28 $366.48
83655 <1% 30 $255.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $217.68
90672 <1% 16 $165.00
81002 <1% 49 $138.85
91300 <1% 137 $1.01
91307 <1% 97 $0.72

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 officialCOX, LEE (PRACTICE MANAGER)