Physician
Pratt Medical Center LTD
Pratt Medical Center LTD was paid $735K by Medicaid between Oct 2018 and Oct 2019, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPRATT MEDICAL CENTER LTD
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
33aNPI1316973555assigned 06/22/2006
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$735K
24GClaims23,479
24DCodes billed51
24AFirst – last monthOct 2018 – Oct 2019
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Virginia
Rank by total paid#2 of 8
Median peer was paid$81K
This provider vs. median9.1×
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 | 3,800 | $108K | |
| 2019 | 19,679 | $627K |
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 | 47% | 6,548 | 4,997 | $346K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,171 | 3,276 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 554 | 461 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 476 | 354 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 465 | 374 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 238 | 178 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 263 | 198 | $12K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.6% | 157 | 143 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 955 | 815 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 235 | 216 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 328 | 237 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 115 | 77 | $7K |
39 more codes
| 90670 | <1% | 301 | $4K | |
| 90686 | <1% | 511 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,681 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,380 | $3K |
| 90710 | <1% | 100 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 207 | $3K |
| 90698 | <1% | 213 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 24 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 208 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $2K |
| 92551 | <1% | 285 | $2K | |
| 99173 | <1% | 1,041 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 33 | $2K |
| 90680 | <1% | 124 | $2K | |
| 90633 | <1% | 154 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 21 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | $1K |
| 90651 | <1% | 48 | $1K | |
| 90744 | <1% | 59 | $470.73 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 50 | $408.07 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 17 | $355.60 |
| 81001 | <1% | 362 | $305.20 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 53 | $280.05 |
| 90696 | <1% | 18 | $211.40 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $209.73 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 154 | $200.89 |
| 90672 | <1% | 17 | $161.00 | |
| 93000 | <1% | 21 | $142.30 | |
| 99174 | <1% | 38 | $120.03 | |
| 80061 | Lipid panel | <1% | 150 | $118.54 |
| 80053 | Comprehensive metabolic panel | <1% | 171 | $105.66 |
| 84439 | <1% | 58 | $100.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $96.30 |
| 85018 | <1% | 50 | $62.33 | |
| 80050 | General health panel | <1% | 25 | $36.92 |
| 81003 | <1% | 44 | $25.42 | |
| 85027 | <1% | 25 | $1.44 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 48 | $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 officialWALKER, SCOTT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| State of California Prison Industry Authority | Chowchilla, CA | $17.51M |
| Pratt Medical Center,ltd | Fredericksburg, VA | $949.32 |
| Pratt Medical Center LTD | Fredericksburg, VA | $492.84 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.