Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Richlands › NPI 1609994284
Physician

Clinch Professional Physician Services LLC

Clinch Professional Physician Services LLC was paid $5.68M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoCLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
RICHLANDS, VA 24641
33aNPI1609994284assigned 03/26/2007
33bProvider typeOtolaryngology Physician
28Total paid$5.68M
24GClaims176,631
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in Virginia

Rank by total paid#1 of 67
Median peer was paid$5K
This provider vs. median1,057×

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.

Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20189,949$283K
201920,983$692K
202020,175$711K
202122,939$902K
202224,810$1.06M
202327,385$1.15M
2024incomplete50,390$890K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 51,813 45,480 $2.38M
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 28% 30,273 24,618 $1.60M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.6% 5,357 4,902 $320K
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 4.0% 2,794 2,518 $228K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.5% 9,562 7,642 $144K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.2% 1,813 1,392 $124K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.9% 3,746 3,587 $106K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 7,925 7,461 $95K
11043 1.4% 1,406 763 $77K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 1,880 1,735 $73K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.2% 689 610 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 1,081 951 $66K
81 more codes
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,258 $26K
87428 <1% 872 $26K
20610 <1% 768 $25K
95251 <1% 1,161 $22K
3074F <1% 4,369 $19K
92557 <1% 817 $18K
3078F <1% 4,570 $18K
51798 <1% 2,334 $17K
92588 <1% 837 $16K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 275 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 340 $13K
99406 <1% 1,644 $13K
77067 Screening mammography, bilateral, including computer-aided detection <1% 334 $10K
99443 <1% 373 $9K
3079F <1% 1,770 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 344 $8K
77063 Screening digital breast tomosynthesis, bilateral <1% 320 $8K
71045 Radiologic examination, chest; single view <1% 1,321 $7K
93016 <1% 539 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 27 $6K
93000 <1% 484 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 577 $6K
71046 Radiologic examination, chest; 2 views <1% 761 $6K
92550 <1% 441 $5K
3075F <1% 1,100 $5K
81003 <1% 1,503 $5K
93018 <1% 539 $5K
71250 <1% 158 $4K
99232 Hospital visit by a doctor, follow-up day <1% 230 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 216 $4K
92567 <1% 344 $4K
3077F <1% 845 $3K
70450 Computed tomography, head or brain; without contrast material <1% 139 $3K
93458 <1% 18 $3K
94726 <1% 379 $3K
94060 <1% 375 $3K
94729 <1% 361 $2K
72110 <1% 226 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 62 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 69 $2K
3008F <1% 7,590 $2K
94010 <1% 87 $2K
74018 <1% 274 $2K
99442 <1% 105 $2K
73564 <1% 204 $2K
93970 <1% 84 $2K
36415 Collection of venous blood by venipuncture <1% 954 $1K
73030 <1% 224 $1K
73630 <1% 233 $1K
70210 <1% 190 $1K
1036F <1% 4,740 $1K
73610 <1% 192 $1K
1160F <1% 2,016 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,747 $1K
3080F <1% 230 $1K
87807 <1% 78 $957.06
71275 Computed tomographic angiography, chest, with contrast material <1% 16 $865.31
73130 <1% 134 $827.28
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 15 $825.02
76641 <1% 34 $807.20
81002 <1% 305 $803.31
93971 <1% 59 $768.52
73502 <1% 92 $708.19
69210 <1% 15 $521.36
99222 Initial hospital care, per day, moderate complexity <1% 19 $473.08
1126F <1% 989 $381.00
73110 <1% 51 $355.81
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 16 $352.46
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $316.85
92587 <1% 14 $270.12
99091 <1% 16 $179.95
82570 <1% 55 $167.80
99152 <1% 18 $136.74
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% 38 $131.26
J1030 Injection, methylprednisolone acetate, 40 mg <1% 27 $126.38
72050 <1% 14 $108.46
73080 <1% 13 $87.18
77080 <1% 14 $85.03
73562 <1% 15 $81.05
1125F <1% 235 $60.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 28 $48.87

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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

Other billing entities under LAWRENCE, CHARLOTTE

Full network →
ProviderLocationPaid
Lake Cumberland Regional Hospital LLCSomerset, KY$77.77M
Danville Regional Medical Center, LLCDanville, VA$65.11M
Phc-Las Cruces INCLas Cruces, NM$64.77M
Georgetown Community Hospital LLCGeorgetown, KY$44.03M
Pinelake Regional Hospital LLCMayfield, KY$43.34M
Raleigh General Hospital LLCBeckley, WV$36.44M
Lourdes Hospital LLCPasco, WA$33.94M
Rchp-Sierra Vista INCSierra Vista, AZ$29.77M
Clinch Valley Medical Center INC.Richlands, VA$26.28M
Spring View Hospital LLCLebanon, KY$23.35M
Havasu Regional Medical Center LLCLake Havasu City, AZ$23.19M
Las Cruces Physician Practices, LLCLas Cruces, NM$22.78M
Meadowview Regional Medical Center LLCMaysville, KY$22.57M
Lourdes Hospital LLCRichland, WA$22.38M
Danville Regional Medical Center LLCMartinsville, VA$21.09M
Phc-Fort Mohave INCFort Mohave, AZ$19.95M
Wythe County Community Hospital LLCWytheville, VA$18.30M
DLP Conemaugh Memorial Medical Center LLCJohnstown, PA$18.22M
Bourbon Community Hospital LLCParis, KY$18.14M
Willamette Valley Medical Center LLCMcminnville, OR$17.29M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.