Appomattox River Medical LLC

Appomattox River Medical LLC was paid $1.06M by Medicaid between Jan 2018 and Jun 2022, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoAPPOMATTOX RIVER MEDICAL LLC
HOPEWELL, VA 23860

33aNPI1538179015assigned 08/08/2006

33bProvider typeInternal Medicine Physician

28Total paid$1.06M

24GClaims45,252

24DCodes billed29

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#24 of 478

Median peer was paid$17K

This provider vs. median63×

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	11,369	$189K
2019	13,192	$296K
2020	8,650	$248K
2021	7,999	$218K
2022	4,042	$103K

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	52%	13,990	11,620	$552K
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	41%	9,071	7,509	$431K
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	1.5%	183	161	$16K
99000		<1%	6,117	5,135	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	154	136	$9K
99490	Ccm add 20min	<1%	2,339	1,694	$7K
36415	Collection of venous blood by venipuncture	<1%	6,333	5,311	$6K
90686		<1%	613	517	$5K
80048	Basic metabolic panel (calcium, ionized)	<1%	1,035	803	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	946	716	$3K
81000		<1%	1,015	860	$3K
90674		<1%	114	100	$2K

17 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	186	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	312	$1K
80061	Lipid panel	<1%	488	$593.89
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	39	$492.41
80076		<1%	533	$466.37
77080		<1%	13	$428.62
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	34	$348.01
0012A		<1%	14	$312.29
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	34	$307.67
0011A		<1%	20	$210.23
71046	Radiologic examination, chest; 2 views	<1%	13	$143.61
83036	Hemoglobin; glycosylated (A1C)	<1%	90	$133.06
99406		<1%	29	$60.27
G0008	Administration of influenza virus vaccine	<1%	65	$40.38
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	51	$28.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	413	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,008	$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.

From NPPES

Who's on the registration

Authorized officialSPALDING, CARTER (ADMINISTRATOR)