Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Downtown Family Healthcare INC

Downtown Family Healthcare INC was paid $140K by Medicaid between Jan 2018 and Aug 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoDOWNTOWN FAMILY HEALTHCARE INC
CHARLOTTESVILLE, VA 22902
33aNPI1174561260assigned 06/02/2006
28Total paid$140K
24GClaims3,287
24DCodes billed2
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#163 of 772
Median peer was paid$13K
This provider vs. median11×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018740$21K
20191,660$70K
2020887$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 2,125 1,587 $95K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 1,162 947 $45K

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 officialMALONEY, WILLIAM (DR)