Physician
Virginia Pulmonary Associates, P.C.
Virginia Pulmonary Associates, P.C. was paid $937K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoVIRGINIA PULMONARY ASSOCIATES, P.C.
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1144374406assigned 01/23/2007
33bProvider typePulmonary Disease Physician
28Total paid$937K
24GClaims25,934
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#5 of 34
Median peer was paid$31K
This provider vs. median31×
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
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 | 3,683 | $71K | |
| 2019 | 4,912 | $137K | |
| 2020 | 3,751 | $121K | |
| 2021 | 4,216 | $165K | |
| 2022 | 3,340 | $157K | |
| 2023 | 3,055 | $141K | |
| 2024incomplete | 2,977 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 5,544 | 4,720 | $258K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 4,979 | 2,312 | $225K |
| 99223 | Prolong inpt eval add15 m | 16% | 2,477 | 2,043 | $151K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.2% | 6,228 | 2,246 | $77K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.0% | 1,046 | 416 | $75K |
| 94729 | 4.6% | 1,493 | 1,327 | $43K | |
| 94727 | 3.6% | 1,531 | 1,363 | $34K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 304 | 278 | $25K |
| 94060 | 1.4% | 533 | 429 | $13K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 406 | 324 | $12K |
| 94010 | 1.2% | 652 | 603 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 389 | 320 | $10K |
4 more codes
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 officialMORTAZAVI, ALA (PRACTICE PRESIDENT)
Parent organizationVIRGINIA PULMONARY ASSOCIATES, P.C.