Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Annandale › NPI 1346777869
Physician

Roberts, Madeleine

Roberts, Madeleine was paid $89K by Medicaid between Apr 2021 and May 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoROBERTS, MADELEINE
ANNANDALE, VA 22003
33aNPI1346777869assigned 05/15/2017
28Total paid$89K
24GClaims1,621
24DCodes billed11
24AFirst – last monthApr 2021 – May 2023
Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#206 of 772
Median peer was paid$13K
This provider vs. median6.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021485$22K
2022853$48K
2023283$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 795 732 $56K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 206 199 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.6% 75 53 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.4% 72 56 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.6% 55 44 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.9% 195 163 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.1% 42 30 $3K
90686 1.3% 86 71 $1K
90670 <1% 55 41 $352.00
90647 <1% 21 15 $134.40
90734 <1% 19 13 $121.60

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.