Physician
CMH Physician Services, LLC
CMH Physician Services, LLC was paid $5.17M by Medicaid between Jan 2018 and Sep 2024, across 167 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoCMH PHYSICIAN SERVICES, LLC
SOUTH HILL, VA 23970
SOUTH HILL, VA 23970
33aNPI1194760645assigned 06/18/2006
33bProvider typeAnesthesiology Physician
28Total paid$5.17M
24GClaims178,876
24DCodes billed167
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Anesthesiology Physician providers in Virginia
Rank by total paid#3 of 61
Median peer was paid$20K
This provider vs. median264×
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 | 9,702 | $141K | |
| 2019 | 38,955 | $666K | |
| 2020 | 38,725 | $660K | |
| 2021 | 23,997 | $728K | |
| 2022 | 23,686 | $1.00M | |
| 2023 | 27,808 | $1.28M | |
| 2024incomplete | 16,003 | $700K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 25,850 | 22,054 | $1.35M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 18% | 18,539 | 15,815 | $944K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 14,254 | 12,133 | $635K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 18,146 | 16,030 | $605K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.7% | 3,203 | 2,769 | $243K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 2,160 | 1,916 | $176K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 2,847 | 2,239 | $168K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 2,534 | 2,223 | $140K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,862 | 1,679 | $133K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 1,247 | 1,077 | $106K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,183 | 1,878 | $66K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 2,533 | 2,117 | $55K |
155 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,257 | $42K |
| 99205 | Prolong outpt/office vis | <1% | 272 | $31K |
| 90837 | Psychotherapy session, about an hour | <1% | 363 | $30K |
| D0330 | Panoramic radiographic image | <1% | 1,113 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 959 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,280 | $24K |
| 99223 | Prolong inpt eval add15 m | <1% | 311 | $22K |
| 90670 | <1% | 1,351 | $19K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 714 | $17K |
| D1110 | Prophylaxis - adult | <1% | 478 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 421 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,034 | $14K |
| 90686 | <1% | 1,335 | $13K | |
| D0274 | Bitewings - four radiographic images | <1% | 704 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 333 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 816 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 185 | $11K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 373 | $10K |
| D1120 | Dental cleaning, child | <1% | 333 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 176 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 172 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 488 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 67 | $8K |
| 69210 | <1% | 256 | $7K | |
| 90698 | <1% | 660 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 212 | $7K |
| 93000 | <1% | 936 | $7K | |
| 90680 | <1% | 505 | $6K | |
| 90648 | <1% | 646 | $6K | |
| D0120 | Dental checkup, returning patient | <1% | 485 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 126 | $5K |
| 81025 | <1% | 881 | $5K | |
| 80305 | <1% | 882 | $5K | |
| 90723 | <1% | 439 | $4K | |
| 90633 | <1% | 368 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 575 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 59 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 119 | $3K |
| 81003 | <1% | 1,948 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 41 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | $3K |
| 94729 | <1% | 412 | $3K | |
| 94726 | <1% | 341 | $3K | |
| 92567 | <1% | 372 | $3K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 128 | $3K |
| 51798 | <1% | 503 | $2K | |
| 90744 | <1% | 226 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,281 | $2K |
| 99442 | <1% | 44 | $2K | |
| 90677 | <1% | 165 | $2K | |
| 99460 | <1% | 42 | $2K | |
| 52000 | <1% | 13 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 71 | $2K |
| 0002A | <1% | 46 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 320 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 164 | $2K |
| 92557 | <1% | 120 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 27 | $1K |
| 99381 | <1% | 39 | $1K | |
| 43235 | <1% | 36 | $1K | |
| 94010 | <1% | 98 | $1K | |
| 20610 | <1% | 56 | $1K | |
| 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% | 201 | $1K |
| 0012A | <1% | 50 | $1K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 192 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 43 | $1K |
| 90681 | <1% | 108 | $1K | |
| 76801 | <1% | 31 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,342 | $926.71 |
| 76642 | <1% | 31 | $774.63 | |
| 90715 | <1% | 28 | $758.16 | |
| 90671 | <1% | 87 | $715.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 481 | $694.88 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 102 | $693.30 |
| 99417 | Prolong home eval add 15m | <1% | 28 | $661.54 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 29 | $635.80 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 34 | $543.87 |
| Q3014 | Telehealth originating site facility fee | <1% | 63 | $492.00 |
| 0001A | <1% | 28 | $486.00 | |
| 0011A | <1% | 32 | $482.26 | |
| 17000 | <1% | 13 | $445.71 | |
| 94060 | <1% | 98 | $399.35 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | $371.53 |
| 76770 | <1% | 14 | $365.03 | |
| 0503F | <1% | 61 | $354.00 | |
| 73564 | <1% | 16 | $337.21 | |
| 93016 | <1% | 33 | $323.29 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 86 | $309.03 |
| 90707 | <1% | 28 | $300.85 | |
| 94664 | <1% | 32 | $278.17 | |
| 90696 | <1% | 33 | $264.00 | |
| 90710 | <1% | 33 | $264.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 27 | $247.98 |
| D0272 | Bitewings - two radiographic images | <1% | 26 | $241.80 |
| 93018 | <1% | 33 | $227.56 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | $190.31 |
| 87210 | <1% | 44 | $167.21 | |
| 90474 | <1% | 480 | $161.59 | |
| 90716 | <1% | 14 | $133.65 | |
| 81002 | <1% | 65 | $106.07 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 324 | $93.90 |
| 74018 | <1% | 15 | $81.13 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | $67.50 |
| 90461 | <1% | 275 | $66.90 | |
| 3023F | <1% | 107 | $60.00 | |
| G8482 | Influenza immunization administered or previously received | <1% | 4,391 | $21.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 16,535 | $14.00 |
| 91300 | <1% | 86 | $0.81 | |
| 91301 | <1% | 86 | $0.66 | |
| 1036F | 0% | 1,708 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 889 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 542 | $0.00 |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 1,837 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 57 | $0.00 |
| G9969 | Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | 0% | 1,236 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 106 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 28 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 409 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 103 | $0.00 |
| 1006F | 0% | 52 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 48 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 14 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 37 | $0.00 |
| 4086F | 0% | 63 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 68 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 65 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 14 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 359 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 1,835 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 2,197 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 1,806 | $0.00 |
| 0502F | 0% | 436 | $0.00 | |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 1,801 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 131 | $0.00 |
| 4040F | 0% | 1,200 | $0.00 | |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 1,805 | $0.00 |
| G8851 | Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) | 0% | 66 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 372 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 1,825 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 346 | $0.00 |
| G8842 | Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea | 0% | 117 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 565 | $0.00 |
| D4910 | 0% | 12 | $0.00 | |
| 4004F | 0% | 265 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,264 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 126 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 123 | $0.00 |
| G9345 | Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors | 0% | 90 | $0.00 |
| 1090F | 0% | 49 | $0.00 | |
| G9968 | Patient was referred to another clinician or specialist during the measurement period | 0% | 144 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 89 | $0.00 |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 16 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 29 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 16 | $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 officialBURNETTE, WARREN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| CMH Physician Services, LLC | South Hill, VA | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.