Physician
Orthovirginia INC.
Orthovirginia INC. was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoORTHOVIRGINIA INC.
FAIRFAX, VA 22030
FAIRFAX, VA 22030
33aNPI1588066740assigned 09/19/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.77M
24GClaims43,251
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#4 of 79
Median peer was paid$6K
This provider vs. median291×
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 | 153 | $4K | |
| 2019 | 3,041 | $103K | |
| 2020 | 7,042 | $198K | |
| 2021 | 8,131 | $312K | |
| 2022 | 8,466 | $346K | |
| 2023 | 8,793 | $425K | |
| 2024incomplete | 7,625 | $378K |
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 | 25% | 8,771 | 7,953 | $444K |
| 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% | 5,849 | 5,390 | $375K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 15% | 8,728 | 2,955 | $266K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 8.3% | 8,161 | 2,340 | $147K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 1,923 | 1,813 | $129K |
| 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% | 1,271 | 1,205 | $119K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.0% | 2,098 | 900 | $89K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 4.4% | 2,293 | 829 | $78K |
| 97161 | 2.3% | 772 | 724 | $40K | |
| 73630 | 1.1% | 779 | 612 | $19K | |
| 73564 | <1% | 389 | 274 | $11K | |
| 73610 | <1% | 409 | 340 | $11K |
16 more codes
| 72100 | <1% | 331 | $8K | |
| 72110 | <1% | 238 | $8K | |
| 20610 | <1% | 289 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 48 | $4K |
| 73562 | <1% | 184 | $4K | |
| 73130 | <1% | 157 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 311 | $946.75 |
| 95886 | <1% | 12 | $883.54 | |
| 73110 | <1% | 14 | $436.56 | |
| 72040 | <1% | 12 | $350.52 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 28 | $280.07 |
| 73030 | <1% | 14 | $245.30 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 43 | $198.40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 42 | $62.38 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 58 | $12.95 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 27 | $3.16 |
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 officialPROFFITT, NICOLE (CREDENTIALING/ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Orthovirginia, INC. | Blacksburg, VA | $235K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.