Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southwest Virginia Orthopedic and Spine LLC

Southwest Virginia Orthopedic and Spine LLC was paid $29K by Medicaid between May 2018 and Jun 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC
BLACKSBURG, VA 24060
33aNPI1255431250assigned 09/22/2006
28Total paid$29K
24GClaims712
24DCodes billed4
24AFirst – last monthMay 2018 – Jun 2019
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#27 of 79
Median peer was paid$6K
This provider vs. median4.7×

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 JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018198$6K
2019514$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 412 333 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42% 211 184 $12K
20610 7.8% 72 54 $2K
73560 <1% 17 14 $183.87

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 officialJOHNSON, WILLIAM (VP)
Same official

Other billing entities under JOHNSON, WILLIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.