Broughton, Robert

Broughton, Robert was paid $101K by Medicaid between Jan 2018 and Oct 2018, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoBROUGHTON, ROBERT
DANVILLE, VA 24541

33aNPI1154389591assigned 05/03/2006

33bProvider typePediatrics Physician

28Total paid$101K

24GClaims4,156

24DCodes billed27

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#237 of 817

Median peer was paid$29K

This provider vs. median3.4×

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	4,156	$101K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	51%	918	834	$51K
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	16%	202	180	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	134	129	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	70	69	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.2%	56	51	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.6%	191	184	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	64	64	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	1.1%	424	405	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	76	73	$1K
90670		1.1%	55	55	$1K
90686		<1%	72	72	$867.57
96127		<1%	145	143	$748.81

15 more codes

90651		<1%	16	$702.77
90461		<1%	235	$689.66
90656		<1%	32	$633.32
90633		<1%	47	$607.52
85018		<1%	199	$558.72
90655		<1%	16	$283.52
36416		<1%	189	$201.02
81003		<1%	58	$155.61
99173		<1%	29	$75.11
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	20	$49.77
36415	Collection of venous blood by venipuncture	<1%	13	$40.95
94760		<1%	228	$13.74
0001F		0%	593	$0.00
99000		0%	57	$0.00
3008F		0%	17	$0.00

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.