David Graham M.D., LLC

David Graham M.D., LLC was paid $67K by Medicaid between Jan 2019 and Nov 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 47% of everything it billed.

33Billing provider infoDAVID GRAHAM M.D., LLC
MARTINSVILLE, VA 24112

33aNPI1205379609assigned 12/02/2016

33bProvider typeSurgery Physician

28Total paid$67K

24GClaims1,387

24DCodes billed5

24AFirst – last monthJan 2019 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Virginia

Rank by total paid#11 of 50

Median peer was paid$3K

This provider vs. median23×

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
2019	174	$5K
2020	70	$3K
2021	144	$7K
2022	276	$15K
2023	280	$16K
2024incomplete	443	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	47%	556	487	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	616	510	$26K
99222	Initial hospital care, per day, moderate complexity	8.8%	150	122	$6K
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	4.5%	51	37	$3K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.1%	14	12	$720.69

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 officialWALTZ, CASSIE (PROVIDER ENROLLMENT CONSULTANT)