Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC

NPI: 1609994284 · RICHLANDS, VA 24641 · Otolaryngology Physician · NPI assigned 03/26/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$5.68M
Total Medicaid Paid
176,631
Total Claims
153,557
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date03/26/2007

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,949 $283K
2019 20,983 $692K
2020 20,175 $711K
2021 22,939 $902K
2022 24,810 $1.06M
2023 27,385 $1.15M
2024 50,390 $890K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,813 45,480 $2.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,273 24,618 $1.60M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,357 4,902 $320K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,794 2,518 $228K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,562 7,642 $144K
99215 Prolong outpt/office vis 1,813 1,392 $124K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,746 3,587 $106K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,925 7,461 $95K
11043 1,406 763 $77K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,880 1,735 $73K
45380 Colonoscopy, flexible; with biopsy, single or multiple 689 610 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,081 951 $66K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,258 4,126 $26K
87428 872 835 $26K
20610 768 627 $25K
95251 1,161 837 $22K
3074F 4,369 4,067 $19K
92557 817 756 $18K
3078F 4,570 4,232 $18K
51798 2,334 1,897 $17K
92588 837 777 $16K
74177 Computed tomography, abdomen and pelvis; with contrast material 275 260 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 340 317 $13K
99406 1,644 1,497 $13K
77067 Screening mammography, bilateral, including computer-aided detection 334 315 $10K
99443 373 259 $9K
3079F 1,770 1,656 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 344 297 $8K
77063 Screening digital breast tomosynthesis, bilateral 320 311 $8K
71045 Radiologic examination, chest; single view 1,321 979 $7K
93016 539 506 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 27 25 $6K
93000 484 437 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 577 507 $6K
71046 Radiologic examination, chest; 2 views 761 714 $6K
92550 441 410 $5K
3075F 1,100 1,016 $5K
81003 1,503 1,239 $5K
93018 539 506 $5K
71250 158 148 $4K
99232 Subsequent hospital care, per day, moderate complexity 230 90 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 216 197 $4K
92567 344 321 $4K
3077F 845 796 $3K
70450 Computed tomography, head or brain; without contrast material 139 133 $3K
93458 18 16 $3K
94726 379 369 $3K
94060 375 365 $3K
94729 361 351 $2K
72110 226 215 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 52 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 69 67 $2K
3008F 7,590 7,031 $2K
94010 87 77 $2K
74018 274 228 $2K
99442 105 69 $2K
73564 204 182 $2K
93970 84 76 $2K
36415 Collection of venous blood by venipuncture 954 850 $1K
73030 224 189 $1K
73630 233 215 $1K
70210 190 184 $1K
1036F 4,740 4,261 $1K
73610 192 178 $1K
1160F 2,016 1,876 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,747 1,601 $1K
3080F 230 216 $1K
87807 78 74 $957.06
71275 Computed tomographic angiography, chest, with contrast material 16 14 $865.31
73130 134 118 $827.28
74176 Computed tomography, abdomen and pelvis; without contrast material 15 14 $825.02
76641 34 25 $807.20
81002 305 288 $803.31
93971 59 54 $768.52
73502 92 85 $708.19
69210 15 14 $521.36
99222 Initial hospital care, per day, moderate complexity 19 14 $473.08
1126F 989 942 $381.00
73110 51 47 $355.81
72148 Magnetic resonance imaging, lumbar spine; without contrast material 16 14 $352.46
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $316.85
92587 14 14 $270.12
99091 16 12 $179.95
82570 55 42 $167.80
99152 18 16 $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) 38 32 $131.26
J1030 Injection, methylprednisolone acetate, 40 mg 27 25 $126.38
72050 14 13 $108.46
73080 13 12 $87.18
77080 14 14 $85.03
73562 15 12 $81.05
1125F 235 206 $60.00
J1885 Injection, ketorolac tromethamine, per 15 mg 28 27 $48.87