Physician
Chesapeake Medical Group, INC.
Chesapeake Medical Group, INC. was paid $29K by Medicaid between Jan 2018 and Aug 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoCHESAPEAKE MEDICAL GROUP, INC.
HEATHSVILLE, VA 22473
HEATHSVILLE, VA 22473
33aNPI1457521080assigned 03/11/2008
33bProvider typeFamily Medicine Physician
28Total paid$29K
24GClaims950
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#296 of 772
Median peer was paid$13K
This provider vs. median2.2×
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 | 720 | $19K | |
| 2019 | 230 | $10K |
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 | 78% | 471 | 404 | $23K |
| 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 | 11% | 88 | 72 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 13 | 13 | $956.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 67 | 65 | $913.92 |
| 90686 | 1.9% | 48 | 46 | $569.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 13 | 12 | $444.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 22 | 12 | $314.16 |
| 85018 | <1% | 14 | 14 | $37.94 | |
| 99173 | <1% | 14 | 14 | $35.56 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 19 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 46 | 30 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 32 | 25 | $0.00 |
3 more codes
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 officialHOLMES, JAMES (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Fort Payne Mri LLC | Fort Payne, AL | $57K |
| Chesapeake Medical Group, INC. | Lively, VA | $3K |
| James H. Holmes, JR., M.D., INC. | Stockton, CA | $2K |
| Chesapeake Medical Group, INC | Hartfield, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.