Spotsylvania Multi-Specialty Group, LLC
Spotsylvania Multi-Specialty Group, LLC was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
FREDERICKSBURG, VA 22408
Next to other Surgery Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,065 | $152K | |
| 2019 | 8,068 | $338K | |
| 2020 | 6,457 | $305K | |
| 2021 | 4,088 | $207K | |
| 2022 | 5,049 | $275K | |
| 2023 | 4,129 | $253K | |
| 2024incomplete | 3,182 | $195K |
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 | 56% | 15,625 | 14,143 | $970K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,181 | 8,981 | $460K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,023 | 970 | $78K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 1,069 | 926 | $69K |
| 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 | 2.8% | 511 | 455 | $48K |
| 99205 | Prolong outpt/office vis | <1% | 128 | 120 | $16K |
| 90670 | <1% | 819 | 747 | $11K | |
| 90686 | <1% | 656 | 609 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 82 | 80 | $7K |
| 90698 | <1% | 521 | 476 | $6K | |
| 90680 | <1% | 439 | 401 | $6K | |
| 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% | 92 | 79 | $5K |
33 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 348 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 49 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 320 | $4K |
| 90744 | <1% | 238 | $3K | |
| 90633 | <1% | 234 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 148 | $2K |
| 99000 | <1% | 779 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 312 | $2K |
| 90707 | <1% | 171 | $2K | |
| 90716 | <1% | 162 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 209 | $1K |
| 99441 | <1% | 43 | $1K | |
| 99381 | <1% | 15 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 14 | $1K |
| 90685 | <1% | 93 | $977.58 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $948.93 |
| 92551 | <1% | 100 | $876.76 | |
| 99442 | <1% | 17 | $721.99 | |
| 90647 | <1% | 68 | $679.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 84 | $632.07 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | $530.15 |
| 90661 | <1% | 15 | $337.40 | |
| 73562 | <1% | 15 | $319.99 | |
| 90696 | <1% | 30 | $309.50 | |
| 99173 | <1% | 129 | $291.92 | |
| 90723 | <1% | 26 | $262.80 | |
| 87807 | <1% | 56 | $211.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $171.32 |
| 90687 | <1% | 17 | $165.00 | |
| 82962 | <1% | 40 | $96.48 | |
| 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% | 27 | $39.31 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lewis Gale Physicians LLC | Salem, VA | $20.58M |
| Commonwealth Perinatal Services, LLC | Fredericksburg, VA | $3.35M |
| John Randolph Ob/Gyn, LLC | Richmond, VA | $1.97M |
| Primary Health Group INC | Midlothian, VA | $1.76M |
| Regional Hospital Healthcare Partners LLC | Terre Haute, IN | $1.55M |
| Appledore Medical Group, INC | Portsmouth, NH | $1.41M |
| Columbia Healthcare of Central Virginia INC | Richmond, VA | $705K |
| Appomattox River Primary Care, LLC | Hopewell, VA | $604K |
| Henrico Doctors Ob Gyn Specialists LLC | Richmond, VA | $504K |
| Retreat Cardiology LLC | Richmond, VA | $476K |
| Primary Care of West End LLC | Richmond, VA | $428K |
| Henrico Doctors Neurology Associates LLC | Richmond, VA | $403K |
| Henrico Surgical Specialists, LLC | Richmond, VA | $386K |
| Retreat Internal Medicine LLC | Richmond, VA | $317K |
| James River Internists LLC | Midlothian, VA | $193K |
| Parkland Physician Services, INC. | Derry, NH | $73K |
| Specialty Physicians of Northern Virginia, LLC | Dulles, VA | $49K |
| Chippenham and Johnston-Willis Sports Medicine, LLC | North Chesterfield, VA | $30K |
| Virginia Gynecologic Oncology LLC | Richmond, VA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.