Physician
Uva Community Health Medical Group, LLC
Uva Community Health Medical Group, LLC was paid $2.20M by Medicaid between Jan 2019 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoUVA COMMUNITY HEALTH MEDICAL GROUP, LLC
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1164990941assigned 11/09/2018
33bProvider typePediatrics Physician
28Total paid$2.20M
24GClaims72,232
24DCodes billed57
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#87 of 817
Median peer was paid$29K
This provider vs. median75×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CODER, CHARLES controls 20+ related entities in our dataset. Read more
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 | 12,563 | $305K | |
| 2020 | 12,845 | $320K | |
| 2021 | 14,190 | $384K | |
| 2022 | 13,189 | $409K | |
| 2023 | 10,136 | $414K | |
| 2024incomplete | 9,309 | $363K |
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 | 37% | 14,658 | 12,843 | $816K |
| 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 | 21% | 5,748 | 5,214 | $462K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 3,033 | 2,790 | $213K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 2,633 | 2,293 | $172K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,172 | 2,087 | $159K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 1,074 | 1,022 | $86K |
| 90686 | 1.2% | 4,205 | 3,984 | $25K | |
| 90670 | 1.1% | 1,724 | 1,508 | $24K | |
| 90677 | 1.0% | 346 | 327 | $22K | |
| 96127 | <1% | 4,290 | 4,104 | $20K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 182 | 179 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 676 | 608 | $18K |
45 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 846 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 745 | $11K |
| 92551 | <1% | 1,155 | $11K | |
| 99177 | <1% | 2,961 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 251 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 217 | $9K |
| 92552 | <1% | 273 | $7K | |
| 90698 | <1% | 608 | $7K | |
| 85018 | <1% | 2,785 | $7K | |
| 99000 | <1% | 2,546 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 807 | $6K |
| 90710 | <1% | 307 | $6K | |
| 90651 | <1% | 174 | $6K | |
| 99173 | <1% | 2,405 | $5K | |
| 90734 | <1% | 166 | $5K | |
| 90680 | <1% | 626 | $5K | |
| 90633 | <1% | 555 | $4K | |
| 90656 | <1% | 292 | $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) | <1% | 363 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,064 | $3K |
| 90648 | <1% | 291 | $2K | |
| 0001A | <1% | 55 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 57 | $2K |
| 90674 | <1% | 127 | $2K | |
| 0002A | <1% | 45 | $2K | |
| 90671 | <1% | 26 | $2K | |
| 90723 | <1% | 138 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 61 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,780 | $1K |
| 96161 | <1% | 481 | $862.90 | |
| 90744 | <1% | 244 | $661.16 | |
| 81003 | <1% | 413 | $519.13 | |
| 0071A | <1% | 12 | $484.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,565 | $439.96 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $414.64 |
| 90696 | <1% | 27 | $276.89 | |
| 94760 | <1% | 336 | $269.37 | |
| 90715 | <1% | 12 | $215.22 | |
| 90461 | <1% | 1,189 | $186.32 | |
| 83655 | <1% | 17 | $183.84 | |
| 90700 | <1% | 13 | $179.22 | |
| 90681 | <1% | 15 | $154.66 | |
| 36416 | <1% | 940 | $113.27 | |
| 99051 | <1% | 201 | $113.22 | |
| 90474 | <1% | 272 | $40.12 |
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 officialCODER, CHARLES (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.