Physician
Pleasant Valley Medical Center, INC
Pleasant Valley Medical Center, INC was paid $862K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoPLEASANT VALLEY MEDICAL CENTER, INC
VIRGINIA BEACH, VA 23464
VIRGINIA BEACH, VA 23464
33aNPI1295826071assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$862K
24GClaims28,562
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#124 of 817
Median peer was paid$29K
This provider vs. median29×
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 | 4,315 | $100K | |
| 2019 | 5,906 | $147K | |
| 2020 | 3,717 | $104K | |
| 2021 | 3,848 | $133K | |
| 2022 | 3,016 | $105K | |
| 2023 | 4,333 | $139K | |
| 2024incomplete | 3,427 | $133K |
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 | 73% | 11,545 | 9,447 | $631K |
| 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 | 11% | 1,168 | 1,064 | $92K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 317 | 302 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 257 | 235 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 1,318 | 1,176 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 1,366 | 619 | $16K |
| 90686 | 1.6% | 1,137 | 1,085 | $14K | |
| 86580 | 1.4% | 1,633 | 1,524 | $12K | |
| 90651 | <1% | 114 | 100 | $6K | |
| 81003 | <1% | 2,130 | 1,949 | $4K | |
| 90620 | <1% | 88 | 79 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 137 | 124 | $4K |
14 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,050 | $3K |
| 90734 | <1% | 109 | $3K | |
| 85013 | <1% | 1,081 | $3K | |
| 85018 | <1% | 1,062 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 30 | $2K |
| 83655 | <1% | 128 | $1K | |
| 36416 | <1% | 2,268 | $688.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 218 | $373.48 |
| 90461 | <1% | 252 | $358.60 | |
| 87807 | <1% | 49 | $338.10 | |
| 90715 | <1% | 32 | $321.44 | |
| 90700 | <1% | 30 | $281.15 | |
| 90713 | <1% | 14 | $123.20 | |
| 82962 | <1% | 29 | $64.93 |
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 officialKHAN, ABDUR (PRESIDENT)