Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

UVA Prince William Medical Center

UVA Prince William Medical Center was paid $45.36M by Medicaid between Jan 2018 and Dec 2024, across 265 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoUVA PRINCE WILLIAM MEDICAL CENTER
MANASSAS, VA 20110
33aNPI1417005760assigned 01/05/2007
28Total paid$45.36M
24GClaims845,933
24DCodes billed265
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#18 of 80
Median peer was paid$14.69M
This provider vs. median3.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CODER, CHARLES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
201888,612$2.71M
2019119,668$4.03M
202096,976$3.39M
2021131,929$4.44M
2022153,793$8.37M
2023145,476$12.88M
2024incomplete109,479$9.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 36,069 32,406 $8.82M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 30,832 26,974 $7.97M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 20,223 17,356 $5.91M
96361 Intravenous infusion, hydration; each additional hour 6.5% 11,814 9,823 $2.94M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.7% 6,928 6,203 $2.15M
70450 Computed tomography, head or brain; without contrast material 3.7% 7,344 6,342 $1.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.5% 7,772 7,070 $1.57M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.0% 7,633 4,569 $1.38M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.5% 9,167 2,890 $1.15M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.2% 8,139 7,589 $988K
G0378 Hospital observation service, per hour 2.2% 7,998 3,452 $987K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.0% 4,851 4,226 $913K
253 more codes
71275 Computed tomographic angiography, chest, with contrast material 1.5% 1,813 $658K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 8,842 $466K
0223U 1.0% 2,530 $456K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 8,422 $448K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,712 $447K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,967 $354K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 551 $341K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,121 $325K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 975 $314K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,968 $297K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,637 $277K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,399 $266K
71046 Radiologic examination, chest; 2 views <1% 8,245 $205K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,677 $194K
41899 Unlisted procedure, dentoalveolar structures <1% 172 $191K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,769 $167K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,506 $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 <1% 7,953 $155K
76830 Ultrasound, transvaginal <1% 1,615 $151K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,348 $151K
80053 Comprehensive metabolic panel <1% 38,956 $147K
76770 <1% 834 $146K
93971 <1% 1,006 $116K
70496 <1% 272 $114K
76642 <1% 566 $109K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,222 $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% 1,650 $81K
99213 Doctor's office visit, returning patient (routine) <1% 259 $78K
76801 <1% 1,417 $72K
97161 <1% 973 $67K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 99 $65K
J3490 Unclassified drugs <1% 85,602 $65K
76536 <1% 378 $64K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 604 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 298 $63K
93976 <1% 276 $55K
74018 <1% 2,051 $54K
72110 <1% 826 $44K
12001 <1% 167 $44K
72125 Computed tomography, cervical spine; without contrast material <1% 2,164 $42K
73564 <1% 1,114 $35K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 297 $34K
71045 Radiologic examination, chest; single view <1% 13,922 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,517 $32K
73030 <1% 1,681 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 8,788 $30K
73630 <1% 1,627 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 55 $29K
93975 <1% 727 $29K
73610 <1% 1,761 $28K
12011 <1% 115 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 29 $28K
73562 <1% 809 $27K
87420 <1% 1,370 $27K
97165 <1% 395 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 212 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,236 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 427 $24K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,849 $24K
87040 <1% 3,336 $24K
76870 <1% 148 $24K
97533 <1% 478 $23K
92521 <1% 66 $23K
73130 <1% 1,225 $22K
92523 <1% 120 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 40,420 $19K
72100 <1% 629 $19K
97162 <1% 78 $18K
59025 Fetal non-stress test <1% 82 $18K
77062 <1% 168 $17K
80143 <1% 3,736 $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 <1% 65 $17K
70486 <1% 288 $17K
70551 Magnetic resonance imaging, brain; without contrast material <1% 79 $17K
83880 <1% 2,329 $16K
84484 <1% 14,414 $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 <1% 2,222 $15K
73110 <1% 975 $15K
80299 <1% 3,360 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,106 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,380 $14K
J8597 Antiemetic drug, oral, not otherwise specified <1% 4,331 $13K
93970 <1% 54 $13K
85379 <1% 2,679 $13K
90715 <1% 579 $12K
87631 <1% 863 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 815 $11K
77066 Tomosynthesis, mammo <1% 225 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,785 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 30 $11K
73502 <1% 467 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,293 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,555 $10K
71250 <1% 126 $9K
70491 <1% 12 $9K
80179 <1% 4,501 $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 <1% 602 $9K
85027 <1% 8,425 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 115 $7K
97166 <1% 30 $7K
J7030 Infusion, normal saline solution , 1000 cc <1% 19,748 $7K
77080 <1% 55 $6K
70498 <1% 271 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 12 $6K
96367 <1% 308 $5K
84443 Thyroid stimulating hormone (TSH) <1% 2,084 $5K
73080 <1% 359 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,775 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 130 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,940 $4K
29125 <1% 43 $4K
90791 Psychiatric diagnostic evaluation <1% 12 $4K
87507 <1% 36 $4K
83605 <1% 3,690 $4K
83735 <1% 10,963 $4K
87186 <1% 3,515 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 211 $4K
73140 <1% 192 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,231 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 1,726 $3K
81001 <1% 11,665 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 13,324 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 793 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,845 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 12,441 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 10,830 $3K
83690 <1% 10,072 $2K
97535 Self-care/home management training, each 15 minutes <1% 65 $2K
97116 <1% 109 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,078 $2K
73590 <1% 162 $2K
72141 <1% 13 $2K
72131 <1% 50 $2K
74174 <1% 12 $2K
87430 <1% 3,596 $2K
82962 <1% 5,631 $2K
36415 Collection of venous blood by venipuncture <1% 3,421 $2K
81025 <1% 7,388 $2K
85610 <1% 4,979 $2K
84702 <1% 2,774 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,320 $2K
81003 <1% 9,223 $2K
84703 <1% 7,842 $2K
80061 Lipid panel <1% 359 $2K
74019 <1% 66 $2K
86140 <1% 1,123 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,915 $1K
87070 <1% 4,039 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 214 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,546 $1K
86850 <1% 1,441 $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% 1,469 $1K
73090 <1% 181 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,886 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,059 $1K
77065 Tomosynthesis, mammo <1% 27 $1K
86900 <1% 1,831 $1K
87486 <1% 129 $1K
76882 <1% 13 $1K
86901 <1% 2,740 $959.20
96376 <1% 5,388 $958.55
87581 <1% 115 $927.88
80076 <1% 372 $925.49
72040 <1% 12 $845.39
72050 <1% 14 $749.74
85007 <1% 396 $726.23
87634 <1% 28 $693.92
72081 <1% 14 $692.42
84112 <1% 32 $669.33
72070 <1% 41 $615.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,227 $576.87
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,460 $576.27
84145 <1% 138 $536.42
85652 <1% 858 $507.42
J2060 Injection, lorazepam, 2 mg <1% 1,055 $496.50
87184 <1% 1,397 $485.66
86923 <1% 21 $469.70
72072 <1% 13 $450.43
85730 <1% 2,475 $435.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,159 $432.28
84439 <1% 108 $417.77
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,426 $380.97
84100 <1% 713 $361.00
J3360 Injection, diazepam, up to 5 mg <1% 588 $352.37
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 74 $342.32
88304 <1% 220 $337.59
J1815 Injection, insulin, per 5 units <1% 1,637 $337.51
87150 <1% 395 $302.14
82550 <1% 1,733 $276.19
J2550 Injection, promethazine hcl, up to 50 mg <1% 713 $258.79
87210 <1% 720 $255.55
97802 <1% 12 $216.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 954 $211.64
J1644 Injection, heparin sodium, per 1000 units <1% 1,601 $185.56
82570 <1% 104 $184.22
82248 <1% 42 $178.54
87081 <1% 1,149 $146.23
71101 <1% 13 $134.83
87205 <1% 454 $130.60
A9270 Non-covered item or service <1% 12,942 $128.96
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 12 $119.42
J1170 Injection, hydromorphone, up to 4 mg <1% 762 $110.95
J3475 Injection, magnesium sulfate, per 500 mg <1% 795 $110.87
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 377 $106.99
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,302 $103.64
J0690 Injection, cefazolin sodium, 500 mg <1% 1,571 $101.69
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 959 $100.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,995 $93.84
88342 <1% 82 $85.98
87077 <1% 449 $78.59
82565 <1% 85 $68.44
82803 <1% 163 $59.59
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,196 $54.33
J2704 Injection, propofol, 10 mg <1% 4,599 $47.31
84156 <1% 45 $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 <1% 607 $34.57
J7510 Prednisolone oral, per 5 mg <1% 241 $33.46
82150 <1% 124 $28.39
C9113 Injection, pantoprazole sodium, per vial <1% 308 $24.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 451 $20.68
J0780 Injection, prochlorperazine, up to 10 mg <1% 505 $17.46
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 288 $6.49
J3370 Injection, vancomycin hcl, 500 mg <1% 153 $5.75
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 136 $5.72
J1630 Injection, haloperidol, up to 5 mg <1% 31 $2.28
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 14 $1.44
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,512 $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 <1% 13 $0.76
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 429 $0.35
A9585 Injection, gadobutrol, 0.1 ml 0% 721 $0.00
94760 0% 19 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 134 $0.00
J7999 Compounded drug, not otherwise classified 0% 366 $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 0% 1,336 $0.00
J3535 Drug administered through a metered dose inhaler 0% 154 $0.00
C1769 Guide wire 0% 212 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 39 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 35 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 31 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 27 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 20 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 15 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 18 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 273 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 63 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 92 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 352 $0.00
82805 0% 73 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 89 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 16 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 28 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 85 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 12 $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.

From NPPES

Who's on the registration

Authorized officialCODER, CHARLES (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under CODER, CHARLES

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