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

Virginia Pulmonology and Critical Care LLC

Virginia Pulmonology and Critical Care LLC was paid $20K by Medicaid between Aug 2021 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoVIRGINIA PULMONOLOGY AND CRITICAL CARE LLC
FREDERICKSBRG, VA 22408
33aNPI1225624679assigned 12/18/2020
28Total paid$20K
24GClaims372
24DCodes billed5
24AFirst – last monthAug 2021 – Oct 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Virginia

Rank by total paid#11 of 19
Median peer was paid$22K
This provider vs. median0.9×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202165$3K
202263$3K
2023167$10K
2024incomplete77$5K
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 36% 151 133 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 34% 110 98 $7K
99223 Prolong inpt eval add15 m 14% 45 37 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.9% 50 27 $2K
99205 Prolong outpt/office vis 6.5% 16 12 $1K

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 officialDOLOJAN, JORGE (PHYSICIAN/SHAREHOLDER)