Physician
Cleanslate Medical Group of Virginia, LLC
Cleanslate Medical Group of Virginia, LLC was paid $4.28M by Medicaid between Sep 2019 and Aug 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC
MECHANICSVILLE, VA 23116
MECHANICSVILLE, VA 23116
33aNPI1629549779assigned 12/16/2018
33bProvider typeInternal Medicine Physician
28Total paid$4.28M
24GClaims64,097
24DCodes billed26
24AFirst – last monthSep 2019 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#6 of 478
Median peer was paid$17K
This provider vs. median256×
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 | |
|---|---|---|---|
| 2019 | 1,745 | $55K | |
| 2020 | 13,291 | $618K | |
| 2021 | 16,477 | $1.05M | |
| 2022 | 13,325 | $991K | |
| 2023 | 13,068 | $1.03M | |
| 2024incomplete | 6,191 | $538K |
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 | 49% | 28,518 | 15,635 | $2.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 16,157 | 10,973 | $853K |
| G9012 | Other specified case management service not elsewhere classified | 13% | 2,761 | 2,678 | $568K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 9,067 | 4,784 | $466K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 3.5% | 2,932 | 2,089 | $152K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 572 | 412 | $27K |
| T1016 | Case management, each 15 minutes | <1% | 461 | 383 | $27K |
| 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 | <1% | 313 | 294 | $27K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 78 | 77 | $11K |
| Q3014 | Telehealth originating site facility fee | <1% | 411 | 287 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 178 | 159 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 97 | 81 | $6K |
14 more codes
| 81025 | <1% | 907 | $5K | |
| H0006 | Alcohol and/or drug services; case management | <1% | 147 | $5K |
| 99409 | <1% | 74 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 192 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $1K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 316 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 87 | $791.37 |
| 86803 | <1% | 72 | $750.60 | |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 53 | $618.21 |
| 99484 | <1% | 58 | $414.61 | |
| 99406 | <1% | 43 | $372.70 | |
| 87340 | <1% | 85 | $355.29 | |
| S9475 | Ambulatory setting substance abuse treatment or detoxification services, per diem | <1% | 461 | $142.80 |
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 officialSMOLAREK, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Cleanslate Medical Group of Indiana LLC | Alexandria, IN | $79.21M |
| Total Wellness Centers, LLC | Holyoke, MA | $77.17M |
| Total Wellness Centers, LLC | West Springfield, MA | $38.42M |
| Cleanslate Medical Group of Pennsylvania LLC | Wilkes Barre, PA | $18.61M |
| Cleanslate Medical Group of Wisconsin, SC | Glendale, WI | $17.13M |
| Cleanslate Medical Group of Kentucky PLLC | Louisville, KY | $10.48M |
| Cleanslate Medical Group of Ohio LLC | Moraine, OH | $9.53M |
| Cleanslate Medical Group of Arizona PLLC | Gilbert, AZ | $955K |
| Cleanslate Medical Group of Arizona PLLC | Phoenix, AZ | $248K |
| Cleanslate Medical Group of Arizona PLLC | Phoenix, AZ | $101K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.