Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › SOUTH HILL › CMH PHYSICIAN SERVICES, LLC

CMH PHYSICIAN SERVICES, LLC

NPI: 1194760645 · SOUTH HILL, VA 23970 · Anesthesiology Physician · NPI assigned 06/18/2006

$5.17M
Total Medicaid Paid
178,876
Total Claims
146,475
Beneficiaries
167
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBURNETTE, WARREN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: BURNETTE, WARREN

ProviderCityStateTotal Paid
CMH PHYSICIAN SERVICES, LLC SOUTH HILL VA $88K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,003 $700K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,850 22,054 $1.35M
99284 Emergency department visit for the evaluation and management, high severity 18,539 15,815 $944K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,254 12,133 $635K
99283 Emergency department visit for the evaluation and management, moderate severity 18,146 16,030 $605K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,203 2,769 $243K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,160 1,916 $176K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,847 2,239 $168K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,534 2,223 $140K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,862 1,679 $133K
99215 Prolong outpt/office vis 1,247 1,077 $106K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,183 1,878 $66K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,533 2,117 $55K
D7140 Extraction, erupted tooth or exposed root 1,257 348 $42K
99205 Prolong outpt/office vis 272 248 $31K
90837 Psychotherapy, 53 minutes with patient 363 237 $30K
D0330 Panoramic radiographic image 1,113 651 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 959 803 $25K
D0150 Comprehensive oral evaluation - new or established patient 1,280 845 $24K
99223 Prolong inpt eval add15 m 311 268 $22K
90670 1,351 1,195 $19K
99232 Subsequent hospital care, per day, moderate complexity 714 347 $17K
D1110 Prophylaxis - adult 478 454 $16K
99233 Prolong inpt eval add15 m 421 199 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,034 2,961 $14K
90686 1,335 1,128 $13K
D0274 Bitewings - four radiographic images 704 655 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 333 268 $12K
D0140 Limited oral evaluation - problem focused 816 492 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 185 163 $11K
77067 Screening mammography, bilateral, including computer-aided detection 373 350 $10K
D1120 Prophylaxis - child 333 323 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 176 32 $9K
99222 Initial hospital care, per day, moderate complexity 172 157 $9K
D1206 Topical application of fluoride varnish 488 476 $9K
90792 Psychiatric diagnostic evaluation with medical services 67 66 $8K
69210 256 227 $7K
90698 660 580 $7K
D0210 Intraoral - complete series of radiographic images 212 196 $7K
93000 936 825 $7K
90680 505 440 $6K
90648 646 576 $6K
D0120 Periodic oral evaluation - established patient 485 469 $6K
99239 Hospital discharge day management, more than 30 minutes 126 114 $5K
81025 881 749 $5K
80305 882 740 $5K
90723 439 389 $4K
90633 368 343 $4K
D0220 Intraoral - periapical first radiographic image 575 342 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 59 53 $4K
99238 Hospital discharge day management, 30 minutes or less 119 93 $3K
81003 1,948 1,501 $3K
90791 Psychiatric diagnostic evaluation 41 41 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 46 41 $3K
94729 412 324 $3K
94726 341 286 $3K
92567 372 320 $3K
77063 Screening digital breast tomosynthesis, bilateral 128 120 $3K
51798 503 427 $2K
90744 226 205 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,281 1,926 $2K
99442 44 40 $2K
90677 165 156 $2K
99460 42 37 $2K
52000 13 12 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 71 63 $2K
0002A 46 45 $2K
71045 Radiologic examination, chest; single view 320 282 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 164 129 $2K
92557 120 105 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 27 27 $1K
99381 39 29 $1K
43235 36 27 $1K
94010 98 91 $1K
20610 56 38 $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) 201 193 $1K
0012A 50 48 $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) 192 153 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 43 25 $1K
90681 108 100 $1K
76801 31 17 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 15 12 $1K
90472 Immunization administration, each additional vaccine (list separately) 1,342 1,187 $926.71
76642 31 27 $774.63
90715 28 24 $758.16
90671 87 74 $715.00
36415 Collection of venous blood by venipuncture 481 407 $694.88
71046 Radiologic examination, chest; 2 views 102 96 $693.30
99417 Prolong home eval add 15m 28 26 $661.54
76705 Ultrasound, abdominal, real time with image documentation; limited 29 28 $635.80
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 34 12 $543.87
Q3014 Telehealth originating site facility fee 63 39 $492.00
0001A 28 28 $486.00
0011A 32 31 $482.26
17000 13 12 $445.71
94060 98 74 $399.35
70450 Computed tomography, head or brain; without contrast material 12 12 $371.53
76770 14 14 $365.03
0503F 61 54 $354.00
73564 16 13 $337.21
93016 33 26 $323.29
J1030 Injection, methylprednisolone acetate, 40 mg 86 64 $309.03
90707 28 27 $300.85
94664 32 31 $278.17
90696 33 25 $264.00
90710 33 25 $264.00
99231 Subsequent hospital care, per day, straightforward or low complexity 27 13 $247.98
D0272 Bitewings - two radiographic images 26 26 $241.80
93018 33 26 $227.56
99281 Emergency department visit for the evaluation and management, self-limited or minor 15 14 $190.31
87210 44 38 $167.21
90474 480 417 $161.59
90716 14 14 $133.65
81002 65 52 $106.07
90460 Immunization administration through 18 years of age via any route, first or only component 324 205 $93.90
74018 15 13 $81.13
G0008 Administration of influenza virus vaccine 28 28 $67.50
90461 275 157 $66.90
3023F 107 97 $60.00
G8482 Influenza immunization administered or previously received 4,391 3,315 $21.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16,535 12,473 $14.00
91300 86 85 $0.81
91301 86 83 $0.66
1036F 1,708 1,193 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 889 670 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 542 475 $0.00
G9583 Patients prescribed opiates for longer than six weeks 1,837 1,447 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 57 43 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 1,236 906 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 106 85 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 28 24 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 409 326 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 103 84 $0.00
1006F 52 35 $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) 48 42 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 14 12 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 37 27 $0.00
4086F 63 49 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 68 53 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 65 52 $0.00
G9459 Currently a tobacco non-user 14 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 359 277 $0.00
G9577 Patients prescribed opiates for longer than six weeks 1,835 1,444 $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) 2,197 1,722 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 1,806 1,424 $0.00
0502F 436 308 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 1,801 1,415 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 131 97 $0.00
4040F 1,200 821 $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 1,805 1,417 $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) 66 56 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 372 285 $0.00
G9561 Patients prescribed opiates for longer than six weeks 1,825 1,446 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 346 275 $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 117 96 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 565 434 $0.00
D4910 12 12 $0.00
4004F 265 192 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 2,264 1,733 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 126 92 $0.00
G8484 Influenza immunization was not administered, reason not given 123 95 $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 90 76 $0.00
1090F 49 37 $0.00
G9968 Patient was referred to another clinician or specialist during the measurement period 144 112 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 89 71 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 16 13 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 29 13 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 16 12 $0.00