Physician
VMG Specialists PC
VMG Specialists PC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 49% of everything it billed.
33Billing provider infoVMG SPECIALISTS PC
PETERSBURG, VA 23805
PETERSBURG, VA 23805
33aNPI1295194983assigned 02/23/2016
33bProvider typePulmonary Disease Physician
28Total paid$1.34M
24GClaims55,448
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#3 of 34
Median peer was paid$31K
This provider vs. median44×
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 | 6,909 | $74K | |
| 2019 | 13,025 | $196K | |
| 2020 | 10,423 | $248K | |
| 2021 | 7,293 | $221K | |
| 2022 | 6,125 | $193K | |
| 2023 | 6,321 | $253K | |
| 2024incomplete | 5,352 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 49% | 8,575 | 2,196 | $664K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 11,215 | 3,055 | $254K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 1,905 | 1,519 | $116K |
| 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 | 8.6% | 2,291 | 2,025 | $115K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.0% | 4,647 | 1,472 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 1,774 | 1,488 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 1,003 | 426 | $40K |
| 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 | 1.8% | 266 | 256 | $24K |
| 95816 | 1.8% | 419 | 369 | $24K | |
| 99406 | <1% | 163 | 141 | $877.76 | |
| 99457 | <1% | 86 | 77 | $635.20 | |
| 99454 | <1% | 60 | 51 | $445.60 |
32 more codes
| 1036F | <1% | 1,766 | $225.01 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,621 | $0.01 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,633 | $0.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,054 | $0.01 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 561 | $0.01 |
| G9696 | Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects) | 0% | 497 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,680 | $0.00 |
| G8924 | Spirometry results documented (fev1/fvc < 70%) | 0% | 1,914 | $0.00 |
| M1172 | Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine) | 0% | 410 | $0.00 |
| G9969 | Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | 0% | 641 | $0.00 |
| M1171 | Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | 0% | 140 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 194 | $0.00 |
| M1169 | Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) | 0% | 393 | $0.00 |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 478 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 194 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 157 | $0.00 |
| M1179 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period | 0% | 35 | $0.00 |
| M1178 | Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine) | 0% | 492 | $0.00 |
| 4040F | 0% | 1,326 | $0.00 | |
| M1168 | Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 174 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 350 | $0.00 |
| M1175 | Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine) | 0% | 406 | $0.00 |
| 4004F | 0% | 311 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 1,509 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 783 | $0.00 |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 50 | $0.00 |
| G9434 | Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given | 0% | 568 | $0.00 |
| M1174 | Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period | 0% | 92 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 259 | $0.00 |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 158 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 157 | $0.00 |
| 3023F | 0% | 41 | $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 officialALLAUDDIN, TAHIR (PRESIDENT)