Pham, Dan

Pham, Dan was paid $162K by Medicaid between Jan 2023 and Nov 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoPHAM, DAN
FALLS CHURCH, VA 22046

33aNPI1518313659assigned 05/08/2016

33bProvider typeHospitalist Physician

28Total paid$162K

24GClaims12,519

24DCodes billed64

24AFirst – last monthJan 2023 – Nov 2024

Compared with peers

Next to other Hospitalist Physician providers in Virginia

Rank by total paid#13 of 56

Median peer was paid$28K

This provider vs. median5.9×

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
2023	6,721	$78K
2024incomplete	5,798	$84K

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	33%	1,733	1,267	$54K
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	21%	772	722	$34K
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	11%	335	289	$18K
H0001	Alcohol and/or drug assessment	5.4%	417	391	$9K
90677		3.4%	71	65	$6K
99490	Ccm add 20min	2.8%	1,039	1,012	$4K
91320		2.1%	40	40	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	129	119	$3K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.5%	205	178	$2K
99457		1.2%	413	407	$2K
93000		1.1%	313	293	$2K
3008F		1.0%	566	498	$2K

52 more codes

99203	Doctor's office visit, new patient (routine)	<1%	38	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	17	$1K
99458		<1%	362	$1K
99397		<1%	47	$1K
G0444	Annual depression screening, 5 to 15 minutes	<1%	353	$1K
99439		<1%	500	$1K
36415	Collection of venous blood by venipuncture	<1%	901	$1K
3078F		<1%	284	$972.18
J3490	Unclassified drugs	<1%	191	$938.27
90661		<1%	39	$896.75
3077F		<1%	229	$847.28
3079F		<1%	166	$808.70
94010		<1%	46	$787.43
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	205	$742.48
90674		<1%	41	$711.44
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	224	$710.95
3074F		<1%	204	$688.60
99454		<1%	216	$686.32
93880		<1%	15	$629.46
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	88	$576.23
1000F		<1%	140	$545.00
99497		<1%	241	$369.26
90480		<1%	40	$356.13
1036F		<1%	173	$350.00
93925		<1%	14	$346.79
3075F		<1%	73	$322.50
3725F		<1%	162	$300.00
1160F		<1%	78	$273.58
1159F		<1%	78	$273.58
97750		<1%	39	$267.28
3288F		<1%	103	$250.00
1101F		<1%	100	$245.00
1100F		<1%	119	$200.00
90686		<1%	25	$199.47
3080F		<1%	67	$177.50
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	32	$110.82
99453		<1%	22	$98.98
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	219	$96.30
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%	13	$42.36
G9275	Documentation that patient is a current non-tobacco user	<1%	160	$36.21
96127		<1%	14	$24.30
G0009	Administration of pneumococcal vaccine	<1%	33	$5.85
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	150	$0.00
G0008	Administration of influenza virus vaccine	0%	31	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	17	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	19	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	45	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	16	$0.00
99051		0%	12	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	35	$0.00
G8477	Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg	0%	18	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	32	$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.