Physician
Twin River Medical Clinic PC
Twin River Medical Clinic PC was paid $4.11M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoTWIN RIVER MEDICAL CLINIC PC
HOPEWELL, VA 23860
HOPEWELL, VA 23860
33aNPI1306805049assigned 03/21/2006
33bProvider typeInternal Medicine Physician
28Total paid$4.11M
24GClaims391,220
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#7 of 478
Median peer was paid$17K
This provider vs. median246×
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 | 40,626 | $291K | |
| 2019 | 60,567 | $527K | |
| 2020 | 60,425 | $544K | |
| 2021 | 53,864 | $658K | |
| 2022 | 54,766 | $655K | |
| 2023 | 67,741 | $812K | |
| 2024incomplete | 53,231 | $622K |
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 | 18% | 21,381 | 16,376 | $733K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 54,756 | 19,364 | $707K |
| 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 | 14% | 10,246 | 8,662 | $579K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 24,639 | 5,834 | $576K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.8% | 16,726 | 6,633 | $401K |
| 99223 | Prolong inpt eval add15 m | 8.7% | 4,642 | 3,955 | $357K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 8,157 | 2,707 | $284K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.1% | 3,987 | 3,331 | $168K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 2,918 | 2,465 | $156K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,258 | 970 | $26K |
| 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% | 260 | 228 | $24K |
| 99305 | <1% | 678 | 534 | $24K |
58 more codes
| 1036F | <1% | 17,727 | $14K | |
| 90756 | <1% | 1,521 | $14K | |
| 1123F | <1% | 7,109 | $13K | |
| 82962 | <1% | 4,971 | $8K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 196 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 68 | $4K |
| 99219 | <1% | 78 | $3K | |
| 3046F | <1% | 1,230 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 29 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 927 | $1K |
| 99217 | <1% | 44 | $1K | |
| 3044F | <1% | 378 | $790.14 | |
| 99315 | <1% | 47 | $767.80 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 20 | $706.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $434.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 108 | $411.85 |
| 1100F | <1% | 737 | $300.00 | |
| 0518F | <1% | 728 | $300.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 7,137 | $235.83 |
| 86580 | <1% | 75 | $199.31 | |
| 3052F | <1% | 43 | $195.00 | |
| 4040F | <1% | 332 | $142.07 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | $102.88 |
| G0008 | Administration of influenza virus vaccine | <1% | 379 | $72.87 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 22,701 | $55.78 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 18,814 | $55.47 |
| 82947 | <1% | 28 | $53.42 | |
| 3051F | <1% | 15 | $51.50 | |
| 81000 | <1% | 22 | $47.88 | |
| 90658 | <1% | 71 | $40.98 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | <1% | 4,434 | $34.98 |
| 99307 | <1% | 24 | $34.06 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 42,141 | $0.19 |
| M1179 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period | <1% | 6,292 | $0.14 |
| M1176 | Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period | <1% | 6,275 | $0.12 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | <1% | 3,554 | $0.10 |
| M1173 | Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | <1% | 5,829 | $0.08 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 20,215 | $0.06 |
| M1170 | Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | <1% | 4,092 | $0.06 |
| 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 | <1% | 2,091 | $0.05 |
| 4004F | <1% | 8,248 | $0.04 | |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 5,757 | $0.01 |
| G8482 | Influenza immunization administered or previously received | <1% | 6,500 | $0.01 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 14,283 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 6,762 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 8,942 | $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% | 8,958 | $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% | 88 | $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% | 346 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 34 | $0.00 |
| M1177 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 37 | $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% | 88 | $0.00 |
| 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) | 0% | 791 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 115 | $0.00 |
| 3045F | 0% | 55 | $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% | 30 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 13 | $0.00 |
| 1124F | 0% | 14 | $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 officialDURRANI, ABDUL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Abdul G. Durrani MD SC | Kenosha, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.