Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Southern Dominion Health System, INC.

Southern Dominion Health System, INC. was paid $810K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSOUTHERN DOMINION HEALTH SYSTEM, INC.
VICTORIA, VA 23974
33aNPI1497969091assigned 05/10/2007
28Total paid$810K
24GClaims31,157
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Virginia

Rank by total paid#46 of 145
Median peer was paid$338K
This provider vs. median2.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,352$91K
20194,165$108K
20202,070$63K
20213,809$130K
20225,600$161K
20237,750$177K
2024incomplete3,411$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 10,864 9,296 $475K
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 22% 3,737 3,372 $174K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 6.2% 3,504 2,556 $50K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.2% 656 607 $18K
87428 2.1% 877 837 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 464 439 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 1,089 1,031 $14K
1000F <1% 1,556 1,486 $6K
3008F <1% 1,416 1,342 $5K
1036F <1% 982 909 $4K
90686 <1% 313 300 $4K
1170F <1% 788 725 $4K
30 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 278 $3K
1034F <1% 608 $3K
3351F <1% 851 $3K
87807 <1% 157 $2K
3074F <1% 260 $2K
3078F <1% 254 $2K
4004F <1% 248 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 12 $864.36
3017F <1% 124 $825.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 $735.03
81003 <1% 463 $702.83
0012A <1% 29 $693.39
99000 <1% 389 $692.56
83036 Hemoglobin; glycosylated (A1C) <1% 292 $589.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 357 $558.97
0011A <1% 33 $483.30
3079F <1% 45 $400.00
99177 <1% 112 $320.78
2022F <1% 53 $300.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 25 $252.83
2028F <1% 13 $100.00
81025 <1% 15 $98.60
3075F <1% 15 $75.00
3077F <1% 14 $75.00
99406 <1% 13 $64.44
G0008 Administration of influenza virus vaccine <1% 64 $12.16
91301 <1% 79 $0.60
90472 Immunization administration, each additional vaccine (list separately) 0% 59 $0.00
90662 0% 21 $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.

From NPPES

Who's on the registration

Authorized officialKING, APRIL (CEO)
Parent organizationSOUTHERN DOMINION HEALTH SYSTEM, INC.
Same official

Other billing entities under KING, APRIL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.