Physician
Western Tidewater Free Clinic INC
Western Tidewater Free Clinic INC was paid $702K by Medicaid between Mar 2019 and Nov 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoWESTERN TIDEWATER FREE CLINIC INC
SUFFOLK, VA 23434
SUFFOLK, VA 23434
33aNPI1295219210assigned 09/17/2018
33bProvider typeGeneral Practice Physician
28Total paid$702K
24GClaims17,630
24DCodes billed33
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Virginia
Rank by total paid#7 of 43
Median peer was paid$38K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2019 | 2,574 | $93K | |
| 2020 | 2,269 | $107K | |
| 2021 | 3,130 | $117K | |
| 2022 | 3,132 | $143K | |
| 2023 | 2,934 | $130K | |
| 2024incomplete | 3,591 | $111K |
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 | 59% | 5,069 | 4,853 | $417K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,769 | 2,597 | $144K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 174 | 171 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.8% | 2,213 | 2,142 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 713 | 708 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 205 | 86 | $12K |
| D0274 | Bitewings - four radiographic images | 1.5% | 358 | 356 | $10K |
| 80061 | Lipid panel | 1.3% | 1,523 | 1,477 | $9K |
| 90686 | 1.3% | 532 | 527 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 793 | 778 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 444 | 436 | $7K |
| 90750 | <1% | 47 | 45 | $7K |
21 more codes
| 99441 | <1% | 192 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 309 | $5K |
| D1110 | Prophylaxis - adult | <1% | 170 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 314 | $4K |
| D0330 | Panoramic radiographic image | <1% | 65 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 86 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 509 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 99 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 165 | $1K |
| 0012A | <1% | 12 | $480.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $382.38 |
| 99442 | <1% | 22 | $290.26 | |
| 82274 | <1% | 26 | $250.00 | |
| 81003 | <1% | 78 | $163.60 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $160.04 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 23 | $0.00 |
| 91301 | 0% | 48 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 586 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 21 | $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 officialHART, CHESTER (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Careplex Orthopaedic Ambulatory Surgery Center, LLC | Norfolk, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.