Lab
Potomac Healthcare Solutions, LLC
Potomac Healthcare Solutions, LLC was paid $10K by Medicaid between Feb 2019 and Nov 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPOTOMAC HEALTHCARE SOLUTIONS, LLC
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
33aNPI1477934727assigned 06/12/2015
33bProvider typeClinical Medical Laboratory
28Total paid$10K
24GClaims790
24DCodes billed12
24AFirst – last monthFeb 2019 – Nov 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Virginia
Rank by total paid#54 of 78
Median peer was paid$37K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 15 | $435.38 | |
| 2021 | 349 | $4K | |
| 2022 | 217 | $3K | |
| 2023 | 209 | $3K |
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 | 32% | 201 | 178 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 18% | 128 | 112 | $2K |
| 0001A | 14% | 48 | 41 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 11% | 80 | 73 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 78 | 68 | $993.09 |
| 0002A | 8.8% | 27 | 27 | $852.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.9% | 17 | 16 | $281.00 |
| 90688 | 1.2% | 14 | 14 | $117.87 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 87 | 81 | $97.91 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 26 | $27.72 |
| 87430 | <1% | 15 | 12 | $14.55 | |
| 91300 | <1% | 69 | 62 | $0.47 |
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 officialJACKSON, DAPHNEY (CREDENTIALING MANAGER)