Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UVA PRINCE WILLIAM MEDICAL CENTER

NPI: 1417005760 · MANASSAS, VA 20110 · General Acute Care Hospital · NPI assigned 01/05/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CODER, CHARLES controls 20+ related entities in our dataset. Read more

$45.36M
Total Medicaid Paid
845,933
Total Claims
628,658
Beneficiaries
265
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCODER, CHARLES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/05/2007

Related Entities

Other providers sharing the same authorized official: CODER, CHARLES

ProviderCityStateTotal Paid
UVA CULPEPER MEDICAL CENTER CULPEPER VA $53.94M
UVA PRINCE WILLIAM MEDICAL CENTER HAYMARKET VA $10.85M
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $2.20M
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC CHARLOTTESVILLE VA $671K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $604K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC RICHMOND VA $284K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC BRISTOW VA $104K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $100K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC CULPEPER VA $98K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $90K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC BRISTOW VA $88K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC GAINESVILLE VA $84K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $71K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC WINCHESTER VA $65K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $60K
UVA CULPEPER MEDICAL CENTER CULPEPER VA $42K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC HAYMARKET VA $38K
CULPEPER SURGERY CENTER LLC CULPEPER VA $33K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC WARRENTON VA $28K
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC MANASSAS VA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88,612 $2.71M
2019 119,668 $4.03M
2020 96,976 $3.39M
2021 131,929 $4.44M
2022 153,793 $8.37M
2023 145,476 $12.88M
2024 109,479 $9.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 36,069 32,406 $8.82M
99284 Emergency department visit for the evaluation and management, high severity 30,832 26,974 $7.97M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,223 17,356 $5.91M
96361 Intravenous infusion, hydration; each additional hour 11,814 9,823 $2.94M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,928 6,203 $2.15M
70450 Computed tomography, head or brain; without contrast material 7,344 6,342 $1.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,772 7,070 $1.57M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,633 4,569 $1.38M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,167 2,890 $1.15M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,139 7,589 $988K
G0378 Hospital observation service, per hour 7,998 3,452 $987K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,851 4,226 $913K
71275 Computed tomographic angiography, chest, with contrast material 1,813 1,665 $658K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,842 6,977 $466K
0223U 2,530 2,381 $456K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,422 2,514 $448K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,712 1,523 $447K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,967 2,734 $354K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 551 518 $341K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,121 852 $325K
99281 Emergency department visit for the evaluation and management, self-limited or minor 975 907 $314K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,968 1,837 $297K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,637 1,888 $277K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,399 1,330 $266K
71046 Radiologic examination, chest; 2 views 8,245 7,518 $205K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,677 3,138 $194K
41899 Unlisted procedure, dentoalveolar structures 172 150 $191K
77067 Screening mammography, bilateral, including computer-aided detection 2,769 2,681 $167K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,506 2,429 $156K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,953 6,946 $155K
76830 Ultrasound, transvaginal 1,615 1,512 $151K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,348 1,143 $151K
80053 Comprehensive metabolic panel 38,956 31,562 $147K
76770 834 796 $146K
93971 1,006 907 $116K
70496 272 245 $114K
76642 566 525 $109K
77063 Screening digital breast tomosynthesis, bilateral 1,222 1,190 $82K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,650 1,452 $81K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 259 225 $78K
76801 1,417 1,228 $72K
97161 973 849 $67K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 99 84 $65K
J3490 Unclassified drugs 85,602 30,716 $65K
76536 378 360 $64K
71260 Computed tomography, thorax, diagnostic; with contrast material 604 550 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 298 283 $63K
93976 276 255 $55K
74018 2,051 1,832 $54K
72110 826 772 $44K
12001 167 155 $44K
72125 Computed tomography, cervical spine; without contrast material 2,164 1,934 $42K
73564 1,114 962 $35K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 297 185 $34K
71045 Radiologic examination, chest; single view 13,922 12,097 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17,517 14,387 $32K
73030 1,681 1,503 $31K
80048 Basic metabolic panel (calcium, ionized) 8,788 6,397 $30K
73630 1,627 1,492 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 55 49 $29K
93975 727 672 $29K
73610 1,761 1,619 $28K
12011 115 112 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 29 28 $28K
73562 809 708 $27K
87420 1,370 1,294 $27K
97165 395 343 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 212 197 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,236 1,076 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 427 380 $24K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,849 3,383 $24K
87040 3,336 1,939 $24K
76870 148 139 $24K
97533 478 157 $23K
92521 66 60 $23K
73130 1,225 1,103 $22K
92523 120 113 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,420 32,320 $19K
72100 629 598 $19K
97162 78 71 $18K
59025 Fetal non-stress test 82 67 $18K
77062 168 162 $17K
80143 3,736 3,126 $17K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 65 15 $17K
70486 288 272 $17K
70551 Magnetic resonance imaging, brain; without contrast material 79 75 $17K
83880 2,329 1,994 $16K
84484 14,414 9,497 $16K
G0480 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; 1-7 drug class(es), including metabolite(s) if performed 2,222 1,849 $15K
73110 975 901 $15K
80299 3,360 2,564 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,106 976 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,380 1,244 $14K
J8597 Antiemetic drug, oral, not otherwise specified 4,331 3,853 $13K
93970 54 50 $13K
85379 2,679 2,432 $13K
90715 579 539 $12K
87631 863 775 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 815 291 $11K
77066 Tomosynthesis, mammo 225 217 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,785 15,077 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 30 27 $11K
73502 467 426 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,293 1,451 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,555 5,473 $10K
71250 126 111 $9K
70491 12 12 $9K
80179 4,501 3,814 $9K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 602 438 $9K
85027 8,425 6,285 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 115 96 $7K
97166 30 29 $7K
J7030 Infusion, normal saline solution , 1000 cc 19,748 15,210 $7K
77080 55 53 $6K
70498 271 243 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $6K
96367 308 154 $5K
84443 Thyroid stimulating hormone (TSH) 2,084 1,844 $5K
73080 359 335 $5K
87086 Culture, bacterial; quantitative colony count, urine 11,775 10,313 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 130 66 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,940 10,173 $4K
29125 43 40 $4K
90791 Psychiatric diagnostic evaluation 12 12 $4K
87507 36 28 $4K
83605 3,690 2,801 $4K
83735 10,963 8,449 $4K
87186 3,515 2,848 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 211 169 $4K
73140 192 183 $3K
J7120 Ringers lactate infusion, up to 1000 cc 5,231 3,990 $3K
83036 Hemoglobin; glycosylated (A1C) 1,726 1,511 $3K
81001 11,665 10,113 $3K
96375 Therapeutic injection; each additional sequential IV push 13,324 10,397 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 793 664 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,845 8,822 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,441 9,814 $3K
J7050 Infusion, normal saline solution, 250 cc 10,830 3,646 $3K
83690 10,072 8,525 $2K
97535 Self-care/home management training, each 15 minutes 65 41 $2K
97116 109 51 $2K
J2270 Injection, morphine sulfate, up to 10 mg 7,078 5,165 $2K
73590 162 155 $2K
72141 13 12 $2K
72131 50 49 $2K
74174 12 12 $2K
87430 3,596 3,360 $2K
82962 5,631 3,178 $2K
36415 Collection of venous blood by venipuncture 3,421 3,007 $2K
81025 7,388 6,539 $2K
85610 4,979 4,073 $2K
84702 2,774 2,373 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,320 1,192 $2K
81003 9,223 8,189 $2K
84703 7,842 7,000 $2K
80061 Lipid panel 359 318 $2K
74019 66 61 $2K
86140 1,123 982 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 4,915 3,776 $1K
87070 4,039 3,659 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 214 171 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,546 3,269 $1K
86850 1,441 1,216 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,469 1,296 $1K
73090 181 158 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,886 1,634 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,059 3,336 $1K
77065 Tomosynthesis, mammo 27 25 $1K
86900 1,831 1,460 $1K
87486 129 109 $1K
76882 13 13 $1K
86901 2,740 2,241 $959.20
96376 5,388 3,360 $958.55
87581 115 96 $927.88
80076 372 326 $925.49
72040 12 12 $845.39
72050 14 14 $749.74
85007 396 337 $726.23
87634 28 28 $693.92
72081 14 14 $692.42
84112 32 30 $669.33
72070 41 36 $615.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,227 899 $576.87
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,460 2,107 $576.27
84145 138 123 $536.42
85652 858 750 $507.42
J2060 Injection, lorazepam, 2 mg 1,055 818 $496.50
87184 1,397 1,136 $485.66
86923 21 12 $469.70
72072 13 12 $450.43
85730 2,475 2,089 $435.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,159 4,528 $432.28
84439 108 99 $417.77
J0696 Injection, ceftriaxone sodium, per 250 mg 4,426 2,672 $380.97
84100 713 516 $361.00
J3360 Injection, diazepam, up to 5 mg 588 357 $352.37
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 74 50 $342.32
88304 220 195 $337.59
J1815 Injection, insulin, per 5 units 1,637 656 $337.51
87150 395 212 $302.14
82550 1,733 1,401 $276.19
J2550 Injection, promethazine hcl, up to 50 mg 713 531 $258.79
87210 720 654 $255.55
97802 12 12 $216.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 954 466 $211.64
J1644 Injection, heparin sodium, per 1000 units 1,601 706 $185.56
82570 104 98 $184.22
82248 42 24 $178.54
87081 1,149 951 $146.23
71101 13 12 $134.83
87205 454 332 $130.60
A9270 Non-covered item or service 12,942 2,343 $128.96
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 12 12 $119.42
J1170 Injection, hydromorphone, up to 4 mg 762 516 $110.95
J3475 Injection, magnesium sulfate, per 500 mg 795 628 $110.87
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 377 318 $106.99
J1650 Injection, enoxaparin sodium, 10 mg 1,302 645 $103.64
J0690 Injection, cefazolin sodium, 500 mg 1,571 1,241 $101.69
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 959 284 $100.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,995 1,928 $93.84
88342 82 62 $85.98
87077 449 346 $78.59
82565 85 81 $68.44
82803 163 137 $59.59
J2765 Injection, metoclopramide hcl, up to 10 mg 1,196 1,027 $54.33
J2704 Injection, propofol, 10 mg 4,599 3,690 $47.31
84156 45 40 $34.62
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 607 466 $34.57
J7510 Prednisolone oral, per 5 mg 241 239 $33.46
82150 124 101 $28.39
C9113 Injection, pantoprazole sodium, per vial 308 169 $24.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 451 369 $20.68
J0780 Injection, prochlorperazine, up to 10 mg 505 470 $17.46
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 288 199 $6.49
J3370 Injection, vancomycin hcl, 500 mg 153 84 $5.75
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 136 115 $5.72
J1630 Injection, haloperidol, up to 5 mg 31 25 $2.28
J0330 Injection, succinylcholine chloride, up to 20 mg 14 12 $1.44
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,512 1,037 $0.86
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 13 12 $0.76
J8499 Prescription drug, oral, non chemotherapeutic, nos 429 190 $0.35
A9585 Injection, gadobutrol, 0.1 ml 721 660 $0.00
94760 19 14 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 134 122 $0.00
J7999 Compounded drug, not otherwise classified 366 294 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,336 1,261 $0.00
J3535 Drug administered through a metered dose inhaler 154 134 $0.00
C1769 Guide wire 212 164 $0.00
J3480 Injection, potassium chloride, per 2 meq 39 27 $0.00
J8540 Dexamethasone, oral, 0.25 mg 35 27 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 31 27 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 27 27 $0.00
J1940 Injection, furosemide, up to 20 mg 20 13 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 15 12 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 18 14 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 273 239 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 63 54 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 92 74 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 352 310 $0.00
82805 73 67 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 89 60 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 16 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 28 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 85 31 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $0.00