Medicaid Provider Spending

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

DOMINION HEALTH MEDICAL ASSOC

NPI: 1457756322 · SOUTH BOSTON, VA 24592 · Pediatrics Physician · NPI assigned 11/04/2014

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

Authorized official HAZELWOOD, CECIL controls 12+ related entities in our dataset. Read more

$1.11M
Total Medicaid Paid
32,059
Total Claims
27,017
Beneficiaries
35
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialHAZELWOOD, CECIL (MANAGER)
NPI Enumeration Date11/04/2014

Related Entities

Other providers sharing the same authorized official: HAZELWOOD, CECIL

ProviderCityStateTotal Paid
DOMINION HEALTH MEDICAL ASSOCIATES LTD SOUTH BOSTON VA $1.35M
HALIFAX HEART CENTER PC SOUTH BOSTON VA $905K
DOMINION HEALTH MEDICAL ASSOCIATES SOUTH BOSTON VA $614K
DOMINION HEALTH MEDICAL ASSOC SOUTH BOSTON VA $363K
DOMINION HEALTH MEDICAL ASSOC. SOUTH BOSTON VA $299K
DOMINION HEALTH MEDICAL ASSOC CHASE CITY VA $258K
DOMINION HEALTH MEDICAL ASSOC. SOUTH BOSTON VA $230K
DOMINION HEALTH MEDICAL ASSOCIATES LTD SOUTH BOSTON VA $113K
DOMINION HEALTH MEDICAL ASSOC CLARKSVILLE VA $103K
DOMINION MEDICAL HEALTH ASSOC SOUTH BOSTON VA $66K
DOMINION HEALTH MEDICAL ASSOC SOUTH BOSTON VA $38K
DOMINION HEALTH MEDICAL ASSOC. SOUTH BOSTON VA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,959 $227K
2019 15,276 $534K
2020 9,824 $349K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,142 4,638 $399K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,737 3,367 $196K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,814 2,104 $177K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,714 1,579 $128K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,133 1,432 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 470 452 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,071 1,935 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,241 2,984 $25K
90670 1,446 1,335 $16K
90686 1,428 1,230 $14K
90698 1,075 984 $11K
90680 736 662 $8K
90633 461 407 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 284 256 $4K
96161 1,572 1,162 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 42 39 $3K
90744 302 258 $3K
87807 223 206 $3K
99238 Hospital discharge day management, 30 minutes or less 56 49 $2K
99460 45 37 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 109 88 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 100 97 $2K
99000 1,157 1,069 $2K
92551 57 55 $540.64
99173 220 207 $521.62
90707 46 43 $516.16
90688 36 36 $412.01
85018 141 125 $318.72
90716 25 25 $287.44
36406 14 14 $184.27
90700 13 12 $142.24
36415 Collection of venous blood by venipuncture 44 41 $126.96
81003 15 15 $29.38
94760 78 62 $20.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $2.94