Physician
Advanced Medical Sports and Spine, PLLC
Advanced Medical Sports and Spine, PLLC was paid $491K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoADVANCED MEDICAL SPORTS AND SPINE, PLLC
CULPEPER, VA 22701
CULPEPER, VA 22701
33aNPI1447545827assigned 06/14/2011
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$491K
24GClaims9,415
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Virginia
Rank by total paid#3 of 39
Median peer was paid$13K
This provider vs. median37×
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 | 998 | $36K | |
| 2019 | 1,637 | $79K | |
| 2020 | 1,715 | $96K | |
| 2021 | 1,561 | $80K | |
| 2022 | 1,431 | $79K | |
| 2023 | 1,082 | $63K | |
| 2024incomplete | 991 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 4,668 | 4,022 | $219K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 31% | 2,698 | 2,328 | $152K |
| 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 | 24% | 1,995 | 1,611 | $120K |
| 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% | 12 | 12 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 42 | 36 | $164.25 |
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 officialHALPERT, DANIEL (PRESIDENT)