Physician
Danville Physician Practices LLC
Danville Physician Practices LLC was paid $13.04M by Medicaid between Jan 2018 and Dec 2024, across 137 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoDANVILLE PHYSICIAN PRACTICES LLC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1629022868assigned 05/20/2006
33bProvider typeMedical Oncology Physician
28Total paid$13.04M
24GClaims478,840
24DCodes billed137
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Oncology Physician providers in Virginia
Rank by total paid#1 of 5
Median peer was paid$171K
This provider vs. median76×
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
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 | 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 | |
| 2024incomplete | 130,006 | $2.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 102,978 | 90,540 | $4.81M |
| 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 | 16% | 40,998 | 34,983 | $2.13M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 12,094 | 10,031 | $840K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 9,157 | 8,773 | $697K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 6,610 | 6,372 | $502K |
| 87428 | 3.5% | 11,647 | 10,948 | $457K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 3,775 | 3,570 | $308K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 4,840 | 4,384 | $299K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.2% | 6,245 | 5,407 | $283K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 55,285 | 39,403 | $244K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.7% | 609 | 551 | $220K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.7% | 2,006 | 1,837 | $216K |
125 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 12,934 | $168K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 1,445 | $137K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,746 | $121K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13,947 | $105K |
| 93000 | <1% | 13,650 | $100K | |
| 99460 | <1% | 1,538 | $86K | |
| 95811 | <1% | 197 | $82K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,832 | $82K |
| 90648 | <1% | 7,120 | $75K | |
| 99442 | <1% | 1,245 | $73K | |
| 95117 | <1% | 8,854 | $64K | |
| 90670 | <1% | 4,529 | $55K | |
| 90723 | <1% | 4,778 | $52K | |
| 83655 | <1% | 4,435 | $52K | |
| 90686 | <1% | 3,997 | $46K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,587 | $45K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 698 | $43K |
| 36415 | Collection of venous blood by venipuncture | <1% | 27,368 | $41K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,361 | $37K |
| 3074F | <1% | 13,943 | $32K | |
| 3078F | <1% | 13,384 | $31K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 925 | $28K |
| 87807 | <1% | 2,220 | $27K | |
| 90633 | <1% | 2,224 | $24K | |
| 92567 | <1% | 2,051 | $24K | |
| 90651 | <1% | 1,518 | $21K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 141 | $20K |
| 92557 | <1% | 890 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,533 | $19K |
| 90677 | <1% | 1,266 | $18K | |
| 69210 | <1% | 488 | $16K | |
| 90734 | <1% | 1,193 | $15K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 87 | $13K |
| 90681 | <1% | 1,108 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 467 | $12K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 628 | $12K |
| 59426 | <1% | 85 | $10K | |
| 3079F | <1% | 3,143 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 371 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 135 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 820 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,022 | $9K |
| 3077F | <1% | 2,423 | $8K | |
| 59425 | <1% | 49 | $8K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 30 | $7K |
| 99406 | <1% | 817 | $7K | |
| 96127 | <1% | 1,533 | $6K | |
| 54150 | <1% | 63 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 115 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 124 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 182 | $5K |
| 90710 | <1% | 392 | $5K | |
| 90696 | <1% | 379 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 84 | $4K |
| 81002 | <1% | 1,941 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 105 | $4K |
| 3080F | <1% | 1,015 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 26 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 33 | $3K |
| 3075F | <1% | 997 | $3K | |
| 90620 | <1% | 216 | $3K | |
| 11043 | <1% | 54 | $3K | |
| 0012A | <1% | 88 | $3K | |
| 90656 | <1% | 224 | $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.) | <1% | 123 | $3K |
| 81003 | <1% | 1,516 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 256 | $3K |
| 92552 | <1% | 111 | $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) | <1% | 568 | $3K |
| 99401 | <1% | 379 | $3K | |
| 90716 | <1% | 224 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 36 | $2K |
| 92556 | <1% | 76 | $2K | |
| 1160F | <1% | 6,209 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 255 | $2K |
| 90715 | <1% | 173 | $2K | |
| 90707 | <1% | 196 | $2K | |
| 95806 | <1% | 26 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 693 | $2K |
| 0011A | <1% | 111 | $2K | |
| 92551 | <1% | 200 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 94060 | <1% | 66 | $2K | |
| 3008F | <1% | 18,898 | $2K | |
| 94729 | <1% | 63 | $1K | |
| 90688 | <1% | 136 | $1K | |
| 59025 | Fetal non-stress test | <1% | 51 | $1K |
| 81025 | <1% | 225 | $1K | |
| 90700 | <1% | 110 | $1K | |
| 36600 | <1% | 87 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 995 | $966.34 |
| 82962 | <1% | 442 | $794.63 | |
| 1036F | <1% | 13,020 | $750.00 | |
| 94726 | <1% | 28 | $716.88 | |
| 99441 | <1% | 102 | $709.88 | |
| 99443 | <1% | 17 | $621.75 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 20 | $549.12 |
| 94375 | <1% | 28 | $519.29 | |
| 85014 | <1% | 184 | $476.05 | |
| 90661 | <1% | 14 | $408.67 | |
| 90649 | <1% | 28 | $372.72 | |
| 85027 | <1% | 57 | $359.54 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 104 | $348.09 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 36 | $313.64 |
| 90674 | <1% | 31 | $276.09 | |
| 99490 | Ccm add 20min | <1% | 15 | $248.49 |
| 82947 | <1% | 132 | $209.91 | |
| 87275 | <1% | 128 | $198.56 | |
| 87276 | <1% | 127 | $188.68 | |
| 82803 | <1% | 61 | $185.11 | |
| 90461 | <1% | 283 | $176.10 | |
| 99173 | <1% | 77 | $175.52 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 146 | $96.02 |
| 71045 | Radiologic examination, chest; single view | <1% | 13 | $85.45 |
| 36416 | <1% | 173 | $79.87 | |
| 90756 | <1% | 20 | $74.10 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $51.61 |
| G0008 | Administration of influenza virus vaccine | <1% | 81 | $47.66 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 49 | $34.31 |
| 1126F | <1% | 320 | $25.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 127 | $4.59 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 17 | $0.00 |
| 1125F | 0% | 13 | $0.00 | |
| 1159F | 0% | 74 | $0.00 | |
| 3725F | 0% | 14 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.