Peninsula Cancer Institute, LLC
Peninsula Cancer Institute, LLC was paid $922K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPENINSULA CANCER INSTITUTE, LLC
NEWPORT NEWS, VA 23601
NEWPORT NEWS, VA 23601
33aNPI1508947342assigned 10/18/2006
33bProvider typeSpecialist
28Total paid$922K
24GClaims37,553
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#26 of 231
Median peer was paid$47K
This provider vs. median20×
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 | 4,107 | $65K | |
| 2019 | 5,209 | $100K | |
| 2020 | 6,270 | $136K | |
| 2021 | 5,412 | $133K | |
| 2022 | 6,089 | $154K | |
| 2023 | 5,835 | $173K | |
| 2024incomplete | 4,631 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 9,490 | 8,360 | $509K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 3,165 | 2,677 | $233K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.9% | 13,614 | 9,287 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 2,434 | 2,154 | $74K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.0% | 1,887 | 1,681 | $10K |
| 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 | <1% | 84 | 82 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,785 | 5,259 | $4K |
| 0012A | <1% | 12 | 12 | $462.00 | |
| Q3014 | Telehealth originating site facility fee | <1% | 12 | 12 | $215.21 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 44 | 37 | $170.18 |
| 80053 | Comprehensive metabolic panel | <1% | 26 | 26 | $8.44 |
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 officialMILLER, BRADEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Michumi PLLC | Williamsburg, VA | $12.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.