Medicaid Provider Spending

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

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

NPI: 1164990941 · MANASSAS, VA 20110 · Pediatrics Physician · NPI assigned 11/09/2018

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

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

$2.20M
Total Medicaid Paid
72,232
Total Claims
65,755
Beneficiaries
57
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCODER, CHARLES (CFO)
NPI Enumeration Date11/09/2018

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 PRINCE WILLIAM MEDICAL CENTER HAYMARKET VA $10.85M
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
2019 12,563 $305K
2020 12,845 $320K
2021 14,190 $384K
2022 13,189 $409K
2023 10,136 $414K
2024 9,309 $363K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,658 12,843 $816K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,748 5,214 $462K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,033 2,790 $213K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,633 2,293 $172K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,172 2,087 $159K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,074 1,022 $86K
90686 4,205 3,984 $25K
90670 1,724 1,508 $24K
90677 346 327 $22K
96127 4,290 4,104 $20K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 182 179 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 676 608 $18K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 846 810 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 745 669 $11K
92551 1,155 1,117 $11K
99177 2,961 2,734 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 251 234 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 217 208 $9K
92552 273 264 $7K
90698 608 519 $7K
85018 2,785 2,505 $7K
99000 2,546 2,393 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 807 739 $6K
90710 307 265 $6K
90651 174 164 $6K
99173 2,405 2,312 $5K
90734 166 146 $5K
90680 626 563 $5K
90633 555 481 $4K
90656 292 291 $4K
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) 363 325 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,064 3,783 $3K
90648 291 277 $2K
0001A 55 55 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 57 56 $2K
90674 127 120 $2K
0002A 45 45 $2K
90671 26 26 $2K
90723 138 133 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 61 61 $1K
90472 Immunization administration, each additional vaccine (list separately) 1,780 1,642 $1K
96161 481 382 $862.90
90744 244 233 $661.16
81003 413 360 $519.13
0071A 12 12 $484.00
90460 Immunization administration through 18 years of age via any route, first or only component 2,565 2,228 $439.96
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 26 $414.64
90696 27 26 $276.89
94760 336 309 $269.37
90715 12 12 $215.22
90461 1,189 998 $186.32
83655 17 15 $183.84
90700 13 12 $179.22
90681 15 15 $154.66
36416 940 841 $113.27
99051 201 130 $113.22
90474 272 260 $40.12