Physician
Endocrinology Associates INC
Endocrinology Associates INC was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoENDOCRINOLOGY ASSOCIATES INC
ROANOKE, VA 24018
ROANOKE, VA 24018
33aNPI1275613473assigned 10/16/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$1.67M
24GClaims116,162
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Virginia
Rank by total paid#2 of 32
Median peer was paid$18K
This provider vs. median92×
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 | 14,163 | $85K | |
| 2019 | 16,344 | $189K | |
| 2020 | 16,168 | $249K | |
| 2021 | 17,122 | $283K | |
| 2022 | 18,731 | $296K | |
| 2023 | 20,771 | $335K | |
| 2024incomplete | 12,863 | $232K |
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 | 40% | 14,071 | 11,976 | $670K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 11,204 | 2,413 | $372K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 2,341 | 2,077 | $91K |
| 84443 | Thyroid stimulating hormone (TSH) | 5.1% | 9,397 | 7,952 | $85K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.8% | 5,431 | 4,598 | $79K |
| 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 | 2.6% | 526 | 473 | $44K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.5% | 9,930 | 8,226 | $42K |
| 80061 | Lipid panel | 2.5% | 6,815 | 5,674 | $41K |
| 80076 | 2.2% | 8,961 | 7,475 | $37K | |
| 84439 | 2.0% | 6,784 | 5,772 | $34K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.9% | 6,978 | 5,796 | $31K |
| 76536 | 1.7% | 472 | 419 | $28K |
21 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 5,209 | $23K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 172 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,764 | $16K |
| 82607 | <1% | 1,576 | $13K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 158 | $9K |
| 84481 | <1% | 728 | $6K | |
| 83735 | <1% | 1,570 | $6K | |
| 99000 | <1% | 5,184 | $6K | |
| 82043 | <1% | 1,976 | $4K | |
| 95251 | <1% | 267 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $3K |
| 82533 | <1% | 296 | $3K | |
| 99490 | Ccm add 20min | <1% | 1,101 | $2K |
| 86376 | <1% | 28 | $297.00 | |
| 84100 | <1% | 84 | $224.98 | |
| 84146 | <1% | 14 | $176.16 | |
| 86800 | <1% | 15 | $151.70 | |
| 84432 | <1% | 15 | $151.70 | |
| 82746 | <1% | 14 | $149.20 | |
| 82728 | <1% | 17 | $114.91 | |
| 83540 | <1% | 17 | $54.53 |
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 officialBIVENS, CARL (PRESIDENT)