New River Valley Medicine, P.C.

New River Valley Medicine, P.C. was paid $137K by Medicaid between Jan 2018 and Sep 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoNEW RIVER VALLEY MEDICINE, P.C.
FAIRLAWN, VA 24141

33aNPI1235641465assigned 10/27/2017

33bProvider typeInternal Medicine Physician

28Total paid$137K

24GClaims4,469

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#123 of 478

Median peer was paid$17K

This provider vs. median8.2×

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	598	$7K
2019	1,391	$32K
2020	971	$34K
2021	729	$30K
2022	641	$28K
2023	139	$6K

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	59%	2,318	1,779	$80K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	1,904	1,382	$55K
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	<1%	34	31	$733.90
90674		<1%	33	27	$486.80
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	26	18	$219.33
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	38	25	$177.32
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	16	13	$100.62
G0008	Administration of influenza virus vaccine	<1%	38	32	$68.28
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	62	50	$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 officialCARD, RICHARD (PRESIDENT/OWNER)