Physician
Potomac Medical Center PC
Potomac Medical Center PC was paid $515K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoPOTOMAC MEDICAL CENTER PC
FALLS CHURCH, VA 22044
FALLS CHURCH, VA 22044
33aNPI1619078003assigned 09/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$515K
24GClaims17,686
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#40 of 478
Median peer was paid$17K
This provider vs. median31×
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 | 5,357 | $92K | |
| 2019 | 5,274 | $126K | |
| 2020 | 2,105 | $66K | |
| 2021 | 1,365 | $55K | |
| 2022 | 1,280 | $63K | |
| 2023 | 1,166 | $64K | |
| 2024incomplete | 1,139 | $50K |
Box 24 · Service lines
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 | 62% | 7,104 | 5,257 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,104 | 3,711 | $162K |
| 95117 | 2.1% | 1,468 | 468 | $11K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.7% | 30 | 25 | $9K |
| V5008 | Hearing screening | <1% | 251 | 198 | $5K |
| 90688 | <1% | 230 | 182 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,527 | 1,125 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | 15 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 90 | 61 | $490.81 |
| 99173 | <1% | 251 | 198 | $479.32 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | 25 | $472.07 |
| 94060 | <1% | 18 | 13 | $335.26 |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 514 | $316.08 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $253.96 |
| 90662 | <1% | 133 | $234.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $169.68 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $125.95 |
| 3078F | <1% | 47 | $108.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 58 | $86.32 |
| 3074F | <1% | 17 | $77.50 | |
| 99000 | <1% | 29 | $59.79 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 62 | $42.10 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 164 | $38.75 |
| 96127 | <1% | 14 | $29.20 | |
| G0008 | Administration of influenza virus vaccine | <1% | 134 | $20.00 |
| 3725F | <1% | 18 | $10.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $3.40 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 76 | $0.00 |
| 1101F | 0% | 27 | $0.00 | |
| 3008F | 0% | 80 | $0.00 | |
| 1000F | 0% | 12 | $0.00 | |
| G8839 | Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness | 0% | 21 | $0.00 |
| A4617 | Mouth piece | 0% | 19 | $0.00 |
| 3288F | 0% | 27 | $0.00 | |
| 1100F | 0% | 27 | $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 officialTU, RICHARD (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| University Foot and Ankle Specialists, INC. | San Diego, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.