Physician
Augusta Medical Group
Augusta Medical Group was paid $12.60M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoAUGUSTA MEDICAL GROUP
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1245489590assigned 09/11/2008
33bProvider typeGeneral Practice Physician
28Total paid$12.60M
24GClaims311,981
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Virginia
Rank by total paid#1 of 43
Median peer was paid$38K
This provider vs. median331×
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 | 19,638 | $427K | |
| 2019 | 43,792 | $1.44M | |
| 2020 | 39,747 | $1.50M | |
| 2021 | 48,235 | $1.82M | |
| 2022 | 51,801 | $2.15M | |
| 2023 | 57,561 | $2.69M | |
| 2024incomplete | 51,207 | $2.56M |
Box 24 · Service lines
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 | 39% | 106,674 | 95,601 | $4.87M |
| 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 | 35% | 75,782 | 67,914 | $4.36M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.8% | 7,318 | 5,180 | $473K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 5,217 | 4,947 | $355K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 13,021 | 4,002 | $348K |
| 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 | 1.6% | 2,203 | 2,078 | $197K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 6,469 | 6,216 | $190K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 2,145 | 1,937 | $187K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 2,648 | 2,476 | $160K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 3,377 | 1,407 | $129K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,501 | 3,400 | $111K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 971 | 886 | $92K |
119 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,973 | $91K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,126 | $87K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 3,176 | $75K |
| 71045 | Radiologic examination, chest; single view | <1% | 13,761 | $71K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 6,719 | $59K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,355 | $55K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 6,383 | $42K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 479 | $38K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,230 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 812 | $32K |
| 90837 | Psychotherapy session, about an hour | <1% | 225 | $26K |
| 59025 | Fetal non-stress test | <1% | 654 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 471 | $25K |
| 76830 | Ultrasound, transvaginal | <1% | 222 | $24K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,426 | $24K |
| 90686 | <1% | 1,645 | $23K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 284 | $19K |
| 95886 | <1% | 308 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 322 | $16K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 124 | $15K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 279 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 454 | $15K |
| 76642 | <1% | 573 | $14K | |
| 99442 | <1% | 385 | $13K | |
| 76801 | <1% | 120 | $13K | |
| 93000 | <1% | 1,458 | $12K | |
| 87430 | <1% | 1,015 | $12K | |
| 92504 | <1% | 599 | $12K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 628 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 85 | $12K |
| 99306 | Prolong nursin fac eval 15m | <1% | 689 | $12K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 60 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 777 | $10K |
| 99459 | <1% | 711 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 98 | $9K |
| 99460 | <1% | 142 | $9K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 30 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 395 | $7K |
| 62323 | <1% | 116 | $7K | |
| 99349 | <1% | 211 | $6K | |
| 74018 | <1% | 972 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 70 | $6K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 49 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,144 | $5K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 25 | $5K |
| 77065 | Tomosynthesis, mammo | <1% | 145 | $4K |
| 87081 | <1% | 662 | $4K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 19 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 41 | $3K |
| 99307 | <1% | 1,003 | $3K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 140 | $3K |
| 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) | <1% | 538 | $3K |
| 99305 | <1% | 197 | $3K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 53 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,339 | $2K |
| 99462 | <1% | 82 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 376 | $2K |
| 76775 | <1% | 140 | $2K | |
| 77066 | Tomosynthesis, mammo | <1% | 78 | $2K |
| 87400 | <1% | 256 | $2K | |
| 95251 | <1% | 110 | $2K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 14 | $2K |
| 76536 | <1% | 112 | $2K | |
| 99356 | <1% | 109 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 16 | $2K |
| 99441 | <1% | 66 | $2K | |
| 87428 | <1% | 61 | $2K | |
| 73630 | <1% | 237 | $2K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 31 | $1K |
| 99406 | <1% | 288 | $1K | |
| 90656 | <1% | 91 | $1K | |
| 73610 | <1% | 169 | $1K | |
| 72141 | <1% | 26 | $1K | |
| 91322 | <1% | 13 | $1K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 19 | $1K |
| 99336 | <1% | 84 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 14 | $1K |
| 64483 | <1% | 14 | $1K | |
| 71250 | <1% | 47 | $1K | |
| 69210 | <1% | 47 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $1K |
| 00731 | <1% | 15 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 89 | $919.55 |
| 99217 | <1% | 30 | $905.45 | |
| 99335 | <1% | 75 | $882.63 | |
| 71271 | <1% | 25 | $843.22 | |
| 20611 | <1% | 13 | $834.23 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 19 | $741.25 |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $646.03 |
| 99348 | <1% | 30 | $640.52 | |
| 81025 | <1% | 91 | $613.06 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $610.92 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 100 | $598.94 |
| 81003 | <1% | 584 | $579.21 | |
| 73130 | <1% | 55 | $480.45 | |
| 80305 | <1% | 43 | $429.89 | |
| 20553 | <1% | 14 | $421.71 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 11,230 | $409.05 |
| 73110 | <1% | 43 | $359.90 | |
| 99443 | <1% | 15 | $342.52 | |
| 73030 | <1% | 42 | $340.84 | |
| 20552 | <1% | 12 | $236.08 | |
| 77062 | <1% | 14 | $226.86 | |
| 73502 | <1% | 31 | $199.04 | |
| 93971 | <1% | 12 | $198.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 72 | $189.71 |
| 99316 | <1% | 18 | $163.27 | |
| 81001 | <1% | 52 | $117.89 | |
| 73564 | <1% | 14 | $111.01 | |
| 72100 | <1% | 13 | $105.87 | |
| 51798 | <1% | 12 | $80.53 | |
| 72040 | <1% | 12 | $65.33 | |
| 99497 | <1% | 15 | $63.73 | |
| 90480 | <1% | 13 | $62.70 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $49.97 |
| 81002 | <1% | 12 | $34.12 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 627 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,733 | $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 officialMANNIX, MARY (FACHE)
Parent organizationAUGUSTA HEALTH CARE, INC
| Provider | Location | Paid |
|---|---|---|
| Augusta Health Care, INC | Fishersville, VA | $63.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.