Orthovirginia, INC.

Orthovirginia, INC. was paid $23.77M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoORTHOVIRGINIA, INC.
NORTH CHESTERFIELD, VA 23225

33aNPI1265470645assigned 06/04/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$23.77M

24GClaims526,180

24DCodes billed93

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#1 of 79

Median peer was paid$6K

This provider vs. median3,920×

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	23,727	$637K
2019	57,633	$2.11M
2020	62,809	$2.75M
2021	83,391	$3.64M
2022	92,595	$4.39M
2023	105,686	$5.20M
2024incomplete	100,339	$5.05M

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	22%	75,501	69,541	$5.26M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	86,732	77,953	$4.19M
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	13%	32,412	30,357	$3.19M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.1%	28,083	26,354	$1.92M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	7.5%	68,761	25,804	$1.79M
97530	Therapeutic activities, direct patient contact, each 15 minutes	6.3%	38,400	16,328	$1.49M
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	3.7%	27,774	11,063	$883K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	2.3%	36,638	14,733	$547K
97161		2.1%	8,190	7,783	$502K
20610		1.6%	9,775	8,635	$382K
95886		1.4%	3,384	3,121	$338K
64483		1.2%	1,936	1,822	$293K

81 more codes

73630		1.2%	12,463	$283K
73610		<1%	7,958	$207K
97162		<1%	3,272	$182K
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	<1%	636	$180K
73110		<1%	5,819	$173K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	5,482	$173K
72110		<1%	4,650	$162K
73564		<1%	4,383	$139K
73562		<1%	5,106	$136K
97165		<1%	1,947	$127K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	<1%	515	$119K
72100		<1%	3,565	$98K
95911		<1%	616	$93K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	1,303	$80K
73030		<1%	3,638	$80K
73130		<1%	2,907	$79K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	11,240	$61K
11721		<1%	3,336	$56K
A4590	Special casting material (e.g., fiberglass)	<1%	1,821	$45K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	2,475	$37K
L3906	Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	<1%	119	$37K
72040		<1%	1,240	$33K
11750		<1%	331	$31K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	3,984	$26K
64484		<1%	341	$23K
99215	Doctor's office visit, returning patient (complex)	<1%	231	$23K
95910		<1%	174	$21K
73140		<1%	721	$21K
L3913	Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	<1%	83	$19K
73080		<1%	706	$18K
L3933	Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment	<1%	97	$15K
20611		<1%	244	$15K
73560		<1%	794	$15K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	275	$13K
97535	Self-care/home management training, each 15 minutes	<1%	987	$13K
29075		<1%	174	$12K
73100		<1%	460	$12K
97163		<1%	206	$11K
73502		<1%	342	$10K
72050		<1%	262	$10K
11056		<1%	297	$10K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	124	$7K
20551		<1%	204	$6K
27096		<1%	38	$6K
99152		<1%	833	$5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	4,155	$5K
96132		<1%	56	$5K
11055		<1%	104	$4K
20550		<1%	108	$4K
64493		<1%	29	$4K
36415	Collection of venous blood by venipuncture	<1%	2,459	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	267	$3K
20552		<1%	68	$3K
73501		<1%	149	$3K
62321		<1%	13	$3K
97166		<1%	40	$2K
29125		<1%	48	$2K
73590		<1%	69	$2K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	30	$1K
73600		<1%	63	$1K
99000		<1%	954	$1K
73090		<1%	56	$1K
95885		<1%	16	$796.59
73620		<1%	52	$766.49
72082		<1%	14	$741.85
64494		<1%	18	$733.45
77077		<1%	13	$529.77
62323		<1%	16	$514.91
72081		<1%	15	$472.10
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	889	$455.15
72170		<1%	29	$431.93
96146		<1%	168	$329.96
73120		<1%	14	$324.49
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	1,329	$212.18
97010		<1%	36	$28.00
1123F		0%	23	$0.00
1124F		0%	743	$0.00
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	0%	57	$0.00
G8984	Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals	0%	16	$0.00
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	61	$0.00
G8985	Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	18	$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 officialFERRELL, JUSTIN (EXECUTIVE DIRECTOR)