L5 Medical Holdings LLC

L5 Medical Holdings LLC was paid $3.61M by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 44% of everything it billed.

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Virginia

Rank by total paid#4 of 25

Median peer was paid$29K

This provider vs. median123×

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	10,373	$486K
2019	16,167	$1.09M
2020	8,847	$569K
2021	9,008	$584K
2022	8,028	$564K
2023	4,894	$318K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	44%	11,243	9,954	$1.61M
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%	26,585	23,083	$1.24M
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	11%	7,698	6,924	$391K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.7%	7,492	6,452	$243K
99205	Prolong outpt/office vis	<1%	450	400	$32K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	651	542	$29K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,086	917	$21K
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%	207	191	$17K
J3300	Injection, triamcinolone acetonide, preservative free, 1 mg	<1%	176	145	$14K
99442		<1%	257	243	$11K
99406		<1%	981	799	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	289	270	$3K

2 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	99	$344.26
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	103	$66.43

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 officialBARNES, JOHN (PRESIDENT)

Same official

Other billing entities under BARNES, JOHN

Full network →

Provider	Location	Paid
House of Change Behavioral Health Center	Baltimore, MD	$4.43M
Freedom Medical Clinic PLLC	Tullahoma, TN	$71K
John M Barnes DPM LLC	Portland, OR	$58K
Dennis & David Company	Bingham Farms, MI	$18K
MMS Audiology LLC	Bingham Farms, MI	$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.