Physician
Virginia Spine Specialists, PLLC
Virginia Spine Specialists, PLLC was paid $59K by Medicaid between Apr 2019 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoVIRGINIA SPINE SPECIALISTS, PLLC
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1508130246assigned 02/27/2012
33bProvider typeNeurological Surgery Physician
28Total paid$59K
24GClaims984
24DCodes billed4
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Virginia
Rank by total paid#3 of 9
Median peer was paid$11K
This provider vs. median5.5×
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 | 83 | $4K | |
| 2020 | 177 | $10K | |
| 2021 | 257 | $16K | |
| 2022 | 156 | $8K | |
| 2023 | 164 | $12K | |
| 2024incomplete | 147 | $9K |
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 | 46% | 550 | 514 | $27K |
| 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 | 39% | 326 | 310 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.8% | 83 | 77 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.0% | 25 | 25 | $3K |
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 officialSHARMA, MUDIT (OWNER)