Physician
Martha Jefferson Medical Group LLC
Martha Jefferson Medical Group LLC was paid $2.97M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoMARTHA JEFFERSON MEDICAL GROUP LLC
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
33aNPI1275720559assigned 10/01/2007
33bProvider typeHematology & Oncology Physician
28Total paid$2.97M
24GClaims92,621
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Virginia
Rank by total paid#1 of 20
Median peer was paid$62K
This provider vs. median48×
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 | 4,029 | $91K | |
| 2019 | 12,300 | $392K | |
| 2020 | 8,471 | $327K | |
| 2021 | 12,050 | $484K | |
| 2022 | 14,279 | $627K | |
| 2023 | 19,112 | $610K | |
| 2024incomplete | 22,380 | $435K |
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 | 53% | 24,998 | 21,904 | $1.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 22,093 | 19,505 | $1.06M |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 4.9% | 1,898 | 1,721 | $146K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 363 | 342 | $24K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 268 | 209 | $18K |
| 3074F | <1% | 4,259 | 3,795 | $17K | |
| 3078F | <1% | 3,693 | 3,264 | $14K | |
| 1159F | <1% | 11,058 | 9,963 | $14K | |
| 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 | <1% | 152 | 129 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 353 | 320 | $12K |
| 99000 | <1% | 11,503 | 10,163 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,972 | 6,109 | $11K |
42 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 202 | $10K |
| 90686 | <1% | 565 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 174 | $6K |
| 99442 | <1% | 157 | $3K | |
| 99443 | <1% | 73 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 29 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 212 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $3K |
| 20610 | <1% | 66 | $2K | |
| 62323 | <1% | 12 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 75 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 51 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 321 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | $2K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 41 | $1K |
| 1125F | <1% | 950 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 201 | $1K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 14 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 3079F | <1% | 270 | $1K | |
| 92551 | <1% | 86 | $779.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | $635.95 |
| 95806 | <1% | 18 | $581.89 | |
| 73630 | <1% | 30 | $571.93 | |
| 95816 | <1% | 14 | $461.90 | |
| 90688 | <1% | 50 | $449.42 | |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 290 | $391.68 |
| 3075F | <1% | 117 | $375.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 45 | $341.94 |
| 83037 | <1% | 80 | $315.19 | |
| 99441 | <1% | 17 | $240.48 | |
| 96127 | <1% | 28 | $145.61 | |
| 99173 | <1% | 61 | $132.91 | |
| 1126F | <1% | 61 | $75.00 | |
| 81025 | <1% | 12 | $67.91 | |
| J3490 | Unclassified drugs | <1% | 249 | $40.45 |
| 36416 | <1% | 66 | $24.04 | |
| 94760 | <1% | 12 | $4.16 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 1160F | 0% | 196 | $0.00 | |
| 90653 | 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 officialCLEMONS, BRUCE (VICE PRESIDENT, MEDICAL DIRECTOR)
Parent organizationMARTHA JEFFERSON HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Martha Jefferson Medical Group LLC | Charlottesville, VA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.