Virginia Commonwealth University Health System

Virginia Commonwealth University Health System was paid $187K by Medicaid between Jan 2018 and Nov 2021, across 3 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 41% of everything it billed.

33Billing provider infoVIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM
RICHMOND, VA 23284

33aNPI1336367630assigned 04/23/2007

33bProvider typeClinic/Center

28Total paid$187K

24GClaims954

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Clinic/Center providers in Virginia

Rank by total paid#21 of 50

Median peer was paid$120K

This provider vs. median1.6×

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	30	$7K
2019	269	$55K
2020	231	$50K
2021	424	$76K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	41%	424	330	$76K
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	34%	289	262	$63K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	241	223	$48K

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 officialPULEO, DOMINIC (CFO)