Physician
Sprague, Robert
Sprague, Robert was paid $6.67 by Medicaid between May 2018 and Aug 2018, across 21 billing codes. Its largest line is 87086, Culture, bacterial; quantitative colony count, urine — 55% of everything it billed.
33Billing provider infoSPRAGUE, ROBERT
MECHANICSVILLE, VA 23116
MECHANICSVILLE, VA 23116
33aNPI1497749493assigned 09/06/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$6.67
24GClaims1,930
24DCodes billed21
24AFirst – last monthMay 2018 – Aug 2018
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Virginia
Rank by total paid#59 of 63
Median peer was paid$6K
This provider vs. median0.0×
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 | 1,930 | $6.67 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87086 | Culture, bacterial; quantitative colony count, urine | 55% | 154 | 147 | $3.69 |
| 87070 | 41% | 30 | 30 | $2.76 | |
| 81025 | 3.3% | 170 | 161 | $0.22 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 58 | 37 | $0.00 |
| 81001 | 0% | 299 | 281 | $0.00 | |
| 83605 | 0% | 14 | 14 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 13 | 13 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 343 | 291 | $0.00 |
| 84484 | 0% | 50 | 48 | $0.00 | |
| 83690 | 0% | 96 | 89 | $0.00 | |
| 82550 | 0% | 31 | 28 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 279 | 245 | $0.00 |
9 more codes
| 82962 | 0% | 94 | $0.00 | |
| 85027 | 0% | 53 | $0.00 | |
| 86901 | 0% | 40 | $0.00 | |
| 87210 | 0% | 12 | $0.00 | |
| 82247 | 0% | 85 | $0.00 | |
| 86900 | 0% | 40 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 28 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 28 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 13 | $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.