Physician
Privia Care Center LLC
Privia Care Center LLC was paid $1.05M by Medicaid between Jan 2019 and Oct 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPRIVIA CARE CENTER LLC
ARLINGTON, VA 22203
ARLINGTON, VA 22203
33aNPI1164874426assigned 07/11/2016
33bProvider typePediatrics Physician
28Total paid$1.05M
24GClaims49,251
24DCodes billed40
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#116 of 817
Median peer was paid$29K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2019 | 7,123 | $268K | |
| 2020 | 5,232 | $104K | |
| 2021 | 7,922 | $140K | |
| 2022 | 10,238 | $170K | |
| 2023 | 9,885 | $205K | |
| 2024incomplete | 8,851 | $168K |
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 | 36% | 14,481 | 12,559 | $379K |
| 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 | 22% | 10,307 | 9,108 | $234K |
| 1036F | 12% | 5,788 | 4,779 | $127K | |
| 3725F | 6.8% | 2,006 | 1,803 | $72K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.3% | 2,401 | 1,308 | $45K |
| G0008 | Administration of influenza virus vaccine | 3.7% | 1,783 | 1,513 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 1,521 | 1,313 | $37K |
| 93000 | 1.7% | 1,101 | 1,011 | $18K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.7% | 645 | 597 | $18K |
| 1126F | 1.2% | 427 | 384 | $13K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.1% | 2,804 | 2,607 | $12K |
| 99454 | 1.0% | 1,272 | 1,114 | $11K |
28 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 975 | $10K |
| 99310 | Prolong nursin fac eval 15m | <1% | 96 | $10K |
| 99457 | <1% | 854 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 305 | $5K |
| 1125F | <1% | 116 | $4K | |
| 99442 | <1% | 133 | $3K | |
| 99458 | <1% | 75 | $2K | |
| 99497 | <1% | 269 | $2K | |
| 99000 | <1% | 27 | $1K | |
| 90662 | <1% | 484 | $976.39 | |
| 1101F | <1% | 26 | $853.81 | |
| 1100F | <1% | 95 | $807.43 | |
| 96127 | <1% | 44 | $673.21 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 30 | $628.22 |
| 99070 | <1% | 13 | $428.53 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 44 | $186.22 |
| 90653 | <1% | 131 | $94.84 | |
| 90682 | <1% | 246 | $73.04 | |
| 0124A | <1% | 32 | $59.42 | |
| 90480 | <1% | 13 | $39.76 | |
| 90694 | <1% | 351 | $21.25 | |
| 3288F | <1% | 103 | $18.96 | |
| 90756 | 0% | 67 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 46 | $0.00 |
| 99493 | 0% | 13 | $0.00 | |
| 90686 | 0% | 95 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 90674 | 0% | 18 | $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.
From NPPES
Who's on the registration
Authorized officialIVESS, COURTNEY (CREDENTIALING & ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Privia Medical Group, LLC | Rockville, MD | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.