Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARTINSVILLE PHYSICIAN PRACTICES LLC

NPI: 1255380887 · MARTINSVILLE, VA 24112 · Family Medicine Physician · NPI assigned 05/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$3.67M
Total Medicaid Paid
124,237
Total Claims
100,236
Beneficiaries
102
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,922 $129K
2019 20,015 $596K
2020 15,775 $570K
2021 15,344 $603K
2022 15,580 $632K
2023 15,204 $571K
2024 34,397 $570K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,070 18,483 $1.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,352 18,696 $856K
99215 Prolong outpt/office vis 4,578 4,062 $316K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,912 4,495 $303K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,581 1,479 $148K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,328 611 $148K
99233 Prolong inpt eval add15 m 3,762 1,039 $105K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,372 2,988 $103K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 898 850 $65K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 480 446 $59K
20610 1,554 1,238 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 687 668 $52K
95117 4,164 1,319 $33K
99223 Prolong inpt eval add15 m 523 447 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 363 342 $26K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,655 4,402 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 702 583 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,890 1,432 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 528 449 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 213 180 $15K
93970 952 839 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 160 156 $13K
3078F 2,323 2,088 $13K
3074F 2,333 2,126 $12K
99406 1,882 1,630 $11K
99205 Prolong outpt/office vis 96 89 $10K
92557 436 394 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 650 617 $8K
76830 Ultrasound, transvaginal 86 65 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 103 99 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 164 137 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,224 972 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 465 306 $6K
99232 Subsequent hospital care, per day, moderate complexity 423 144 $6K
3079F 1,057 977 $6K
74018 287 251 $5K
59425 49 41 $5K
3077F 798 743 $5K
90686 592 478 $5K
81025 773 655 $5K
81003 2,909 2,506 $4K
93018 599 524 $4K
99222 Initial hospital care, per day, moderate complexity 160 115 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 557 466 $4K
73564 94 85 $3K
90670 277 265 $3K
59025 Fetal non-stress test 108 51 $3K
83655 247 221 $3K
99221 87 75 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 175 168 $3K
94618 133 117 $3K
94060 278 252 $3K
93971 211 192 $2K
85018 1,060 952 $2K
99417 Prolong home eval add 15m 104 96 $2K
36415 Collection of venous blood by venipuncture 1,403 1,244 $2K
3075F 388 349 $2K
90651 134 131 $2K
3080F 301 279 $2K
93016 181 159 $2K
51798 272 246 $2K
94726 217 197 $1K
73610 59 54 $1K
90723 128 125 $1K
73110 38 37 $1K
94729 214 195 $1K
90633 96 87 $1K
73562 41 38 $989.20
90647 88 81 $892.24
73030 42 39 $887.24
87428 29 28 $884.90
1160F 1,813 1,571 $875.00
3008F 6,560 5,892 $825.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 15 12 $782.43
83036 Hemoglobin; glycosylated (A1C) 217 164 $782.32
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 123 108 $767.54
90734 44 44 $740.07
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 147 $720.03
92558 42 33 $621.15
96127 151 138 $616.11
90621 19 19 $552.05
90715 13 13 $482.47
90460 Immunization administration through 18 years of age via any route, first or only component 436 386 $431.93
90696 45 36 $424.89
90710 45 36 $424.89
73502 15 14 $383.52
72100 12 12 $371.72
1036F 5,231 4,250 $350.00
94664 39 34 $347.50
90674 14 14 $330.48
99309 Subsequent nursing facility care, per day, low to moderate complexity 35 26 $231.41
93248 14 13 $206.12
90685 12 12 $140.65
99173 62 57 $137.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 160 73 $121.41
G0008 Administration of influenza virus vaccine 110 79 $106.63
87081 14 13 $66.96
81000 37 29 $66.96
1125F 480 441 $0.00
1159F 96 81 $0.00
90461 96 87 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00