Managed care
Sandston Primary Care INC.
Sandston Primary Care INC. was paid $108K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.
33Billing provider infoSANDSTON PRIMARY CARE INC.
SANDSTON, VA 23150
SANDSTON, VA 23150
33aNPI1265534382assigned 09/01/2006
33bProvider typePreferred Provider Organization
28Total paid$108K
24GClaims3,023
24DCodes billed8
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Virginia
Rank by total paid#7 of 11
Median peer was paid$151K
This provider vs. median0.7×
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.
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 | 202 | $2K | |
| 2019 | 470 | $11K | |
| 2020 | 502 | $18K | |
| 2021 | 331 | $15K | |
| 2022 | 499 | $22K | |
| 2023 | 630 | $25K | |
| 2024incomplete | 389 | $15K |
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 | 92% | 2,084 | 1,597 | $100K |
| 99490 | Ccm add 20min | 5.2% | 651 | 628 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 40 | 29 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 64 | 58 | $378.00 |
| 90674 | <1% | 18 | 17 | $298.48 | |
| 99000 | <1% | 120 | 116 | $225.03 | |
| 96127 | <1% | 27 | 27 | $102.12 | |
| 99491 | Ccm add 20min | <1% | 19 | 19 | $85.65 |
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 officialKHAN, SHUJA (OWNER PRESIDENT)