Medicaid Provider Spending

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

DANVILLE PHYSICIAN PRACTICES LLC

NPI: 1629022868 · DANVILLE, VA 24541 · Medical Oncology Physician · NPI assigned 05/20/2006

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

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

$13.04M
Total Medicaid Paid
478,840
Total Claims
411,643
Beneficiaries
137
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date05/20/2006

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 33,592 $494K
2019 69,252 $1.75M
2020 52,390 $1.59M
2021 60,377 $1.98M
2022 60,213 $2.24M
2023 73,010 $2.71M
2024 130,006 $2.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102,978 90,540 $4.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,998 34,983 $2.13M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,094 10,031 $840K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,157 8,773 $697K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,610 6,372 $502K
87428 11,647 10,948 $457K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,775 3,570 $308K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,840 4,384 $299K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,245 5,407 $283K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 55,285 39,403 $244K
95810 Polysomnography; sleep staging with 4 or more additional parameters 609 551 $220K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,006 1,837 $216K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,934 12,050 $168K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,445 1,340 $137K
99215 Prolong outpt/office vis 1,746 1,459 $121K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,947 13,128 $105K
93000 13,650 11,595 $100K
99460 1,538 1,223 $86K
95811 197 187 $82K
99238 Hospital discharge day management, 30 minutes or less 1,832 1,458 $82K
90648 7,120 6,757 $75K
99442 1,245 1,159 $73K
95117 8,854 4,466 $64K
90670 4,529 4,257 $55K
90723 4,778 4,482 $52K
83655 4,435 4,261 $52K
90686 3,997 3,817 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,587 1,438 $45K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 698 233 $43K
36415 Collection of venous blood by venipuncture 27,368 23,586 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,361 1,808 $37K
3074F 13,943 12,787 $32K
3078F 13,384 12,238 $31K
99232 Subsequent hospital care, per day, moderate complexity 925 340 $28K
87807 2,220 2,052 $27K
90633 2,224 2,126 $24K
92567 2,051 1,792 $24K
90651 1,518 1,448 $21K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 141 120 $20K
92557 890 787 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,533 1,289 $19K
90677 1,266 1,179 $18K
69210 488 431 $16K
90734 1,193 1,102 $15K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 87 76 $13K
90681 1,108 1,008 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 467 422 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 628 456 $12K
59426 85 33 $10K
3079F 3,143 2,881 $10K
99233 Prolong inpt eval add15 m 371 175 $10K
99222 Initial hospital care, per day, moderate complexity 135 117 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 820 321 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,022 977 $9K
3077F 2,423 2,192 $8K
59425 49 36 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 30 30 $7K
99406 817 722 $7K
96127 1,533 1,311 $6K
54150 63 52 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 115 111 $5K
99239 Hospital discharge day management, more than 30 minutes 124 106 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 182 159 $5K
90710 392 381 $5K
90696 379 372 $4K
99223 Prolong inpt eval add15 m 84 75 $4K
81002 1,941 1,688 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 105 92 $4K
3080F 1,015 946 $3K
99205 Prolong outpt/office vis 26 25 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 33 28 $3K
3075F 997 918 $3K
90620 216 198 $3K
11043 54 34 $3K
0012A 88 88 $3K
90656 224 223 $3K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 123 95 $3K
81003 1,516 1,332 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 256 189 $3K
92552 111 99 $3K
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) 568 503 $3K
99401 379 325 $3K
90716 224 208 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 36 30 $2K
92556 76 72 $2K
1160F 6,209 5,551 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 255 240 $2K
90715 173 165 $2K
90707 196 181 $2K
95806 26 25 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 693 621 $2K
0011A 111 106 $2K
92551 200 195 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 26 $2K
94060 66 63 $2K
3008F 18,898 17,070 $2K
94729 63 57 $1K
90688 136 121 $1K
59025 Fetal non-stress test 51 31 $1K
81025 225 197 $1K
90700 110 106 $1K
36600 87 78 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 995 937 $966.34
82962 442 387 $794.63
1036F 13,020 10,968 $750.00
94726 28 28 $716.88
99441 102 57 $709.88
99443 17 15 $621.75
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 20 17 $549.12
94375 28 25 $519.29
85014 184 176 $476.05
90661 14 14 $408.67
90649 28 26 $372.72
85027 57 56 $359.54
83036 Hemoglobin; glycosylated (A1C) 104 85 $348.09
J1040 Injection, methylprednisolone acetate, 80 mg 36 34 $313.64
90674 31 30 $276.09
99490 Ccm add 20min 15 13 $248.49
82947 132 99 $209.91
87275 128 115 $198.56
87276 127 114 $188.68
82803 61 53 $185.11
90461 283 263 $176.10
99173 77 76 $175.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 146 107 $96.02
71045 Radiologic examination, chest; single view 13 12 $85.45
36416 173 156 $79.87
90756 20 15 $74.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $51.61
G0008 Administration of influenza virus vaccine 81 63 $47.66
90472 Immunization administration, each additional vaccine (list separately) 49 43 $34.31
1126F 320 289 $25.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 127 123 $4.59
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 12 $0.00
1125F 13 13 $0.00
1159F 74 65 $0.00
3725F 14 12 $0.00