Physician
Southern Dominion Health System, INC.
Southern Dominion Health System, INC. was paid $829K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSOUTHERN DOMINION HEALTH SYSTEM, INC.
VICTORIA, VA 23974
VICTORIA, VA 23974
33aNPI1295706588assigned 01/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$829K
24GClaims26,384
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#46 of 772
Median peer was paid$13K
This provider vs. median63×
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 | 1,763 | $41K | |
| 2019 | 2,437 | $89K | |
| 2020 | 2,652 | $89K | |
| 2021 | 2,902 | $104K | |
| 2022 | 5,838 | $230K | |
| 2023 | 5,099 | $139K | |
| 2024incomplete | 5,693 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 6,945 | 6,067 | $335K |
| 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 | 24% | 3,301 | 3,086 | $199K |
| D1110 | Prophylaxis - adult | 5.5% | 1,226 | 1,223 | $45K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.9% | 646 | 512 | $40K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 416 | 165 | $26K |
| G0467 | Community health center visit, returning patientFederally 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 | 2.9% | 1,516 | 1,227 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 1,121 | 1,117 | $18K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 1,101 | 1,073 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 277 | 272 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 769 | 764 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 885 | 881 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 419 | 416 | $10K |
33 more codes
| D0274 | Bitewings - four radiographic images | 1.0% | 392 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 115 | $8K |
| 87428 | <1% | 350 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 834 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 123 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 185 | $6K |
| 90686 | <1% | 335 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 235 | $3K |
| 3008F | <1% | 1,083 | $3K | |
| 1000F | <1% | 978 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $2K |
| 1034F | <1% | 221 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | $1K |
| 1036F | <1% | 475 | $875.00 | |
| 3351F | <1% | 515 | $825.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 277 | $652.03 |
| 99177 | <1% | 120 | $495.23 | |
| 4000F | <1% | 29 | $450.00 | |
| 99000 | <1% | 617 | $404.98 | |
| 3078F | <1% | 97 | $400.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 273 | $382.99 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $375.06 |
| 3074F | <1% | 153 | $350.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 37 | $261.54 |
| 3017F | <1% | 14 | $125.00 | |
| 3079F | <1% | 15 | $100.00 | |
| 99173 | <1% | 13 | $28.13 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $21.90 |
| 91301 | <1% | 32 | $0.29 | |
| 1170F | 0% | 74 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 14 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 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 officialKING, APRIL (CEO)
Parent organizationSOUTHERN DOMINION HEALTH SYSTEM, INC.
| Provider | Location | Paid |
|---|---|---|
| Southern Dominion Health System, INC. | Victoria, VA | $810K |
| Southern Dominion Health System, INC. | Dinwiddie, VA | $802K |
| Southern Dominion Health System, INC. | Amelia Court House, VA | $574K |
| Southern Dominion Health System, INC. | Emporia, VA | $338K |
| DR. April R. King, Od, LLC | Rainbow City, AL | $54K |
| Southern Dominion Health System, INC. | Victoria, VA | $37K |
| Southern Dominion Health System, INC. | Victoria, VA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.