Central Virginia Health Services INC
Central Virginia Health Services INC was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
NEW CANTON, VA 23123
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,051 | $107K | |
| 2019 | 6,388 | $154K | |
| 2020 | 5,794 | $172K | |
| 2021 | 8,951 | $260K | |
| 2022 | 17,792 | $333K | |
| 2023 | 28,609 | $427K | |
| 2024incomplete | 8,505 | $112K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 11,702 | 10,245 | $577K |
| 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 | 27% | 8,058 | 7,328 | $418K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 7.8% | 9,344 | 7,017 | $122K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 3,510 | 3,150 | $113K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 1,030 | 962 | $35K |
| 1159F | 2.2% | 8,909 | 7,628 | $35K | |
| 1160F | 2.2% | 8,856 | 7,602 | $35K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.7% | 2,522 | 1,885 | $27K |
| 3008F | 1.2% | 4,404 | 3,894 | $19K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 1,574 | 1,295 | $17K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.0% | 282 | 272 | $16K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,025 | 673 | $13K |
47 more codes
| 3074F | <1% | 2,440 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 903 | $11K |
| 3078F | <1% | 2,091 | $10K | |
| 1126F | <1% | 2,820 | $9K | |
| 0012A | <1% | 285 | $9K | |
| 90686 | <1% | 592 | $9K | |
| 0011A | <1% | 280 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,332 | $7K |
| 96127 | <1% | 1,333 | $6K | |
| 3079F | <1% | 942 | $5K | |
| 81003 | <1% | 3,454 | $5K | |
| 1125F | <1% | 1,040 | $5K | |
| 80305 | <1% | 436 | $4K | |
| 0064A | <1% | 142 | $4K | |
| 87428 | <1% | 115 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 301 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 301 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $3K |
| 81025 | <1% | 414 | $2K | |
| 3075F | <1% | 425 | $2K | |
| 3077F | <1% | 425 | $2K | |
| 91322 | <1% | 17 | $1K | |
| 0134A | <1% | 56 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 4000F | <1% | 360 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 170 | $1K |
| 0004A | <1% | 29 | $1K | |
| 0002A | <1% | 41 | $1K | |
| 3080F | <1% | 183 | $825.00 | |
| 3044F | <1% | 245 | $750.00 | |
| 87210 | <1% | 159 | $689.27 | |
| 99406 | <1% | 72 | $623.35 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | $421.42 |
| 92552 | <1% | 27 | $360.00 | |
| 81001 | <1% | 104 | $271.74 | |
| 0001A | <1% | 31 | $265.15 | |
| 90480 | <1% | 17 | $249.02 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 21 | $214.10 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 21 | $181.80 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $148.98 |
| 85018 | <1% | 27 | $55.10 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 17 | $33.54 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 50 | $11.00 |
| 1170F | 0% | 18 | $0.00 | |
| 91313 | 0% | 29 | $0.00 | |
| 2028F | 0% | 14 | $0.00 | |
| 1100F | 0% | 18 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.