Raley, Thomas

Raley, Thomas was paid $16K by Medicaid between May 2022 and Jul 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoRALEY, THOMAS
STAFFORD, VA 22554

33aNPI1518967207assigned 07/26/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$16K

24GClaims287

24DCodes billed3

24AFirst – last monthMay 2022 – Jul 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#32 of 79

Median peer was paid$6K

This provider vs. median2.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (12/20/2023).

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
2022	287	$16K

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	99%	170	148	$16K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	1.1%	105	104	$186.42
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	12	12	$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.