NP / PA
Town Square Medical, PLLC
Town Square Medical, PLLC was paid $89K by Medicaid between Nov 2022 and Jan 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoTOWN SQUARE MEDICAL, PLLC
GLADE SPRING, VA 24340
GLADE SPRING, VA 24340
33aNPI1528641354assigned 04/29/2021
33bProvider typeMedical Physician Assistant
28Total paid$89K
24GClaims3,543
24DCodes billed7
24AFirst – last monthNov 2022 – Jan 2024
Compared with peers
Next to other Medical Physician Assistant providers in Virginia
Rank by total paid#2 of 17
Median peer was paid$4K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2022 | 699 | $13K | |
| 2023 | 2,786 | $74K | |
| 2024incomplete | 58 | $2K |
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 | 31% | 836 | 526 | $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 | 26% | 563 | 331 | $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 | 18% | 467 | 297 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 477 | 273 | $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 | 6.7% | 102 | 71 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.0% | 860 | 271 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 238 | 150 | $1K |
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 officialJUSTUS, MATTHEW (OWNER)