Physician
Danville Urologic Clinic INC
Danville Urologic Clinic INC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 39% of everything it billed.
33Billing provider infoDANVILLE UROLOGIC CLINIC INC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1619927100assigned 05/12/2006
33bProvider typeUrology Physician
28Total paid$1.79M
24GClaims61,557
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Virginia
Rank by total paid#1 of 28
Median peer was paid$8K
This provider vs. median216×
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 | 9,838 | $140K | |
| 2019 | 10,867 | $216K | |
| 2020 | 7,741 | $223K | |
| 2021 | 8,243 | $259K | |
| 2022 | 8,876 | $316K | |
| 2023 | 8,423 | $325K | |
| 2024incomplete | 7,569 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 39% | 13,082 | 11,043 | $694K |
| 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 | 27% | 11,564 | 9,766 | $481K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 6,223 | 2,584 | $184K |
| 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 | 7.2% | 1,488 | 1,297 | $129K |
| 99223 | Prolong inpt eval add15 m | 5.0% | 2,096 | 1,643 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,259 | 1,070 | $44K |
| 36902 | 1.7% | 509 | 370 | $30K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 2,526 | 1,128 | $29K |
| 90961 | 1.6% | 578 | 491 | $29K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.2% | 1,367 | 718 | $21K |
| 81002 | 1.1% | 10,688 | 9,268 | $20K | |
| 99490 | Ccm add 20min | <1% | 3,666 | 2,858 | $10K |
22 more codes
| 93925 | <1% | 41 | $5K | |
| 52000 | <1% | 48 | $5K | |
| 81001 | <1% | 1,999 | $4K | |
| 37252 | <1% | 17 | $2K | |
| 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% | 554 | $2K |
| 81003 | <1% | 1,757 | $2K | |
| 51798 | <1% | 388 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $965.26 |
| 36415 | Collection of venous blood by venipuncture | <1% | 652 | $677.12 |
| 99152 | <1% | 79 | $461.16 | |
| 76857 | <1% | 40 | $456.01 | |
| 80069 | <1% | 194 | $415.52 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 176 | $397.24 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 155 | $340.99 |
| 98967 | <1% | 13 | $238.75 | |
| 82962 | <1% | 155 | $187.74 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 35 | $167.30 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 24 | $160.13 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 62 | $139.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $77.41 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 22 | $1.30 |
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 officialCARBONE, JOSEPH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Eye Care for Kids | Midvale, UT | $864K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.