Medicaid Provider Spending

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

CENTRAL VIRGINIA HEALTH SERVICES INC

NPI: 1275512063 · NEW CANTON, VA 23123 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2006

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

Authorized official ALLBAUGH, CHARLES controls 18+ related entities in our dataset. Read more

$3.55M
Total Medicaid Paid
168,042
Total Claims
147,890
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLBAUGH, CHARLES (CFO)
NPI Enumeration Date01/11/2006

Related Entities

Other providers sharing the same authorized official: ALLBAUGH, CHARLES

ProviderCityStateTotal Paid
CENTRAL VIRGINIA HEALTH SERVICES INC NEW CANTON VA $1.56M
CENTRAL VIRGINIA HEALTH SERVICES INC PETERSBURG VA $1.45M
CENTRAL VIRGINIA HEALTH SERVICES INC MONTROSS VA $1.25M
CENTRAL VIRGINIA HEALTH SERVICES INC PETERSBURG VA $1.24M
CENTRAL VIRGINIA HEALTH SERVICES INC CHARLOTTE COURTHOUSE VA $1.02M
CENTRAL VIRGINIA HEALTH SERVICES INC PRINCE GEORGE VA $902K
CENTRAL VIRGINIA HEALTH SERVICES INC FREDERICKSBURG VA $784K
CENTRAL VIRGINIA HEALTH SERVICES INC LOUISA VA $648K
CENTRAL VIRGINIA HEALTH SERVICES INC AYLETT VA $567K
CENTRAL VIRGINIA HEALTH SERVICES INC ALBERTA VA $363K
CENTRAL VIRGINIA HEALTH SERVICES INC CHARLOTTESVILLE VA $349K
CENTRAL VIRGINIA HEALTH SERVICES INC FARMVILLE VA $331K
CENTRAL VIRGINIA HEALTH SERVICES INC ESMONT VA $309K
CENTRAL VIRGINIA HEALTH SERVICES INC CHARLES CITY VA $309K
CENTRAL VIRGINIA HEALTH SERVICES INC BOWLING GREEN VA $207K
CENTRAL VIRGINIA HEALTH SERVICES INC MILFORD VA $83K
CENTRAL VIRGINIA HEALTH SERVICE INC CHARLOTTESVILLE VA $5K
CENTRAL VIRGINIA HEALTH SERVICES INC PETERSBURG VA $316.65

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,612 $55K
2019 12,785 $537K
2020 17,199 $706K
2021 17,730 $527K
2022 27,429 $620K
2023 34,789 $522K
2024 55,498 $583K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,455 19,787 $1.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,430 12,542 $845K
90834 Psychotherapy, 45 minutes with patient 3,100 2,207 $212K
90832 Psychotherapy, 30 minutes with patient 2,890 2,110 $161K
D1110 Prophylaxis - adult 3,996 3,900 $148K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 7,319 6,086 $124K
90837 Psychotherapy, 53 minutes with patient 1,108 787 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,417 3,127 $106K
D0120 Periodic oral evaluation - established patient 4,646 4,534 $81K
D7140 Extraction, erupted tooth or exposed root 1,135 526 $72K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,453 1,320 $59K
D1206 Topical application of fluoride varnish 2,260 2,211 $42K
D0140 Limited oral evaluation - problem focused 2,272 1,771 $41K
D0150 Comprehensive oral evaluation - new or established patient 1,468 1,244 $37K
D0220 Intraoral - periapical first radiographic image 3,962 3,188 $33K
D1120 Prophylaxis - child 860 837 $28K
D0210 Intraoral - complete series of radiographic images 662 477 $27K
D1354 2,125 664 $27K
96127 4,687 4,342 $25K
90686 1,372 1,341 $19K
0012A 386 376 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 944 846 $13K
D1351 Sealant - per tooth 395 147 $13K
0011A 442 429 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 152 152 $12K
D0330 Panoramic radiographic image 237 218 $12K
D0274 Bitewings - four radiographic images 462 447 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 833 785 $10K
83036 Hemoglobin; glycosylated (A1C) 1,309 1,264 $8K
D0230 Intraoral - periapical each additional radiographic image 865 481 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 114 78 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 468 442 $5K
87428 221 217 $5K
81003 4,652 4,280 $5K
D0272 Bitewings - two radiographic images 246 235 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 326 276 $4K
80305 422 395 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 69 65 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 45 45 $3K
81025 579 559 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 312 219 $3K
1160F 17,529 15,608 $3K
1159F 17,641 15,680 $3K
90853 Group psychotherapy (other than of a multiple-family group) 103 54 $2K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 187 185 $2K
0064A 64 63 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 14 13 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $2K
0002A 51 51 $2K
99442 27 26 $2K
90715 80 79 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 339 330 $1K
99443 13 12 $1K
90656 107 107 $1K
0001A 53 47 $1K
99383 14 14 $895.56
99406 231 226 $864.29
3008F 11,081 10,027 $675.00
1126F 7,541 6,877 $450.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 104 $422.80
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68 65 $417.98
99308 Subsequent nursing facility care, per day, straightforward 85 70 $412.93
90734 55 48 $412.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 24 $354.42
D1208 Topical application of fluoride, excluding varnish 25 24 $353.43
87210 113 108 $338.87
81001 96 90 $233.23
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 24 24 $226.17
0004A 14 13 $200.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 24 $195.52
3044F 125 119 $187.59
3078F 4,317 3,892 $75.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 47 30 $52.00
3074F 4,999 4,486 $50.00
85018 13 12 $27.03
1125F 2,267 2,080 $0.00
3079F 1,223 1,144 $0.00
3075F 387 365 $0.00
4000F 386 368 $0.00
3080F 126 119 $0.00
3077F 311 288 $0.00
2028F 13 13 $0.00