Physician
Henley, Anita
Henley, Anita was paid $76K by Medicaid between Jan 2018 and Nov 2018, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoHENLEY, ANITA
MARION, VA 24354
MARION, VA 24354
33aNPI1336354117assigned 05/14/2007
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims3,591
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#272 of 817
Median peer was paid$29K
This provider vs. median2.6×
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 | 3,591 | $76K |
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 | 66% | 917 | 787 | $50K |
| 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 | 6.7% | 62 | 57 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 58 | 44 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 222 | 192 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 31 | 30 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 220 | 195 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 23 | 17 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 181 | 163 | $1K |
| 92551 | 1.7% | 171 | 131 | $1K | |
| 90686 | 1.5% | 111 | 98 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 14 | 13 | $988.91 |
| 99177 | 1.3% | 244 | 208 | $976.57 |
12 more codes
| 87081 | 1.2% | 162 | $908.94 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 66 | $836.28 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 50 | $631.02 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 315 | $514.34 |
| 99188 | <1% | 12 | $260.63 | |
| 90461 | <1% | 69 | $216.95 | |
| 80061 | Lipid panel | <1% | 26 | $162.40 |
| 36416 | <1% | 305 | $93.11 | |
| 99173 | <1% | 31 | $46.62 | |
| 99000 | <1% | 31 | $3.86 | |
| 94760 | <1% | 255 | $2.82 | |
| 99051 | 0% | 15 | $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.