Physician
Mansilla Medical Practice, PC
Mansilla Medical Practice, PC was paid $417K by Medicaid between Jan 2018 and May 2023, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMANSILLA MEDICAL PRACTICE, PC
MIDLOTHIAN, VA 23114
MIDLOTHIAN, VA 23114
33aNPI1316143860assigned 06/22/2007
33bProvider typeInternal Medicine Physician
28Total paid$417K
24GClaims15,146
24DCodes billed35
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#53 of 478
Median peer was paid$17K
This provider vs. median25×
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 | 711 | $8K | |
| 2019 | 237 | $5K | |
| 2020 | 6,170 | $103K | |
| 2021 | 4,128 | $137K | |
| 2022 | 3,409 | $135K | |
| 2023 | 491 | $29K |
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 | 50% | 3,212 | 2,707 | $210K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 3,360 | 2,925 | $170K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 118 | 110 | $9K |
| 93000 | 1.4% | 526 | 492 | $6K | |
| 90674 | 1.4% | 285 | 265 | $6K | |
| 96127 | <1% | 749 | 713 | $3K | |
| 0012A | <1% | 83 | 83 | $3K | |
| 81002 | <1% | 1,182 | 1,066 | $3K | |
| 0011A | <1% | 80 | 77 | $2K | |
| 99000 | <1% | 965 | 898 | $2K | |
| 99173 | <1% | 545 | 523 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $1K |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 203 | $483.47 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $325.87 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $186.63 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $180.18 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $127.30 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 373 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 267 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,092 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 83 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 208 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 94 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 64 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 36 | $0.00 |
| 1036F | 0% | 389 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 39 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 225 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 125 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 34 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 494 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 169 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | $0.00 |
| 3017F | 0% | 16 | $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 officialMANSILLA, OLIVIA (PRESIDENT)