Physician
Martinsville Physician Practices LLC
Martinsville Physician Practices LLC was paid $3.67M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoMARTINSVILLE PHYSICIAN PRACTICES LLC
MARTINSVILLE, VA 24112
MARTINSVILLE, VA 24112
33aNPI1255380887assigned 05/10/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.67M
24GClaims124,237
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#9 of 772
Median peer was paid$13K
This provider vs. median280×
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.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
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 | 7,922 | $129K | |
| 2019 | 20,015 | $596K | |
| 2020 | 15,775 | $570K | |
| 2021 | 15,344 | $603K | |
| 2022 | 15,580 | $632K | |
| 2023 | 15,204 | $571K | |
| 2024incomplete | 34,397 | $570K |
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 | 28% | 22,070 | 18,483 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 22,352 | 18,696 | $856K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.6% | 4,578 | 4,062 | $316K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 4,912 | 4,495 | $303K |
| 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 | 4.0% | 1,581 | 1,479 | $148K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.0% | 2,328 | 611 | $148K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 3,762 | 1,039 | $105K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 3,372 | 2,988 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 898 | 850 | $65K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.6% | 480 | 446 | $59K |
| 20610 | 1.5% | 1,554 | 1,238 | $56K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 687 | 668 | $52K |
90 more codes
| 95117 | <1% | 4,164 | $33K | |
| 99223 | Prolong inpt eval add15 m | <1% | 523 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 363 | $26K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,655 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 702 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,890 | $16K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 528 | $16K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 213 | $15K |
| 93970 | <1% | 952 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 160 | $13K |
| 3078F | <1% | 2,323 | $13K | |
| 3074F | <1% | 2,333 | $12K | |
| 99406 | <1% | 1,882 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 96 | $10K |
| 92557 | <1% | 436 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 650 | $8K |
| 76830 | Ultrasound, transvaginal | <1% | 86 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 103 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 164 | $6K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,224 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 465 | $6K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 423 | $6K |
| 3079F | <1% | 1,057 | $6K | |
| 74018 | <1% | 287 | $5K | |
| 59425 | <1% | 49 | $5K | |
| 3077F | <1% | 798 | $5K | |
| 90686 | <1% | 592 | $5K | |
| 81025 | <1% | 773 | $5K | |
| 81003 | <1% | 2,909 | $4K | |
| 93018 | <1% | 599 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 160 | $4K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 557 | $4K |
| 73564 | <1% | 94 | $3K | |
| 90670 | <1% | 277 | $3K | |
| 59025 | Fetal non-stress test | <1% | 108 | $3K |
| 83655 | <1% | 247 | $3K | |
| 99221 | <1% | 87 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 175 | $3K |
| 94618 | <1% | 133 | $3K | |
| 94060 | <1% | 278 | $3K | |
| 93971 | <1% | 211 | $2K | |
| 85018 | <1% | 1,060 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 104 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,403 | $2K |
| 3075F | <1% | 388 | $2K | |
| 90651 | <1% | 134 | $2K | |
| 3080F | <1% | 301 | $2K | |
| 93016 | <1% | 181 | $2K | |
| 51798 | <1% | 272 | $2K | |
| 94726 | <1% | 217 | $1K | |
| 73610 | <1% | 59 | $1K | |
| 90723 | <1% | 128 | $1K | |
| 73110 | <1% | 38 | $1K | |
| 94729 | <1% | 214 | $1K | |
| 90633 | <1% | 96 | $1K | |
| 73562 | <1% | 41 | $989.20 | |
| 90647 | <1% | 88 | $892.24 | |
| 73030 | <1% | 42 | $887.24 | |
| 87428 | <1% | 29 | $884.90 | |
| 1160F | <1% | 1,813 | $875.00 | |
| 3008F | <1% | 6,560 | $825.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $782.43 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 217 | $782.32 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 123 | $767.54 |
| 90734 | <1% | 44 | $740.07 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 180 | $720.03 |
| 92558 | <1% | 42 | $621.15 | |
| 96127 | <1% | 151 | $616.11 | |
| 90621 | <1% | 19 | $552.05 | |
| 90715 | <1% | 13 | $482.47 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 436 | $431.93 |
| 90696 | <1% | 45 | $424.89 | |
| 90710 | <1% | 45 | $424.89 | |
| 73502 | <1% | 15 | $383.52 | |
| 72100 | <1% | 12 | $371.72 | |
| 1036F | <1% | 5,231 | $350.00 | |
| 94664 | <1% | 39 | $347.50 | |
| 90674 | <1% | 14 | $330.48 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 35 | $231.41 |
| 93248 | <1% | 14 | $206.12 | |
| 90685 | <1% | 12 | $140.65 | |
| 99173 | <1% | 62 | $137.03 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 160 | $121.41 |
| G0008 | Administration of influenza virus vaccine | <1% | 110 | $106.63 |
| 87081 | <1% | 14 | $66.96 | |
| 81000 | <1% | 37 | $66.96 | |
| 1125F | 0% | 480 | $0.00 | |
| 1159F | 0% | 96 | $0.00 | |
| 90461 | 0% | 96 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.