Virginia Hospital Center Physician Group, LLC

Virginia Hospital Center Physician Group, LLC was paid $8K by Medicaid between Jul 2020 and Mar 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.

33Billing provider infoVIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
ARLINGTON, VA 22207

33aNPI1639511504assigned 07/22/2013

33bProvider typeUrology Physician

28Total paid$8K

24GClaims296

24DCodes billed5

24AFirst – last monthJul 2020 – Mar 2024

Compared with peers

Next to other Urology Physician providers in Virginia

Rank by total paid#15 of 28

Median peer was paid$8K

This provider vs. median1.0×

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 BABBITT, BRENDA controls 15+ 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
2020	60	$1K
2021	43	$12.85
2022	143	$6K
2023	33	$786.07
2024incomplete	17	$5.58

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	49%	67	63	$4K
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%	40	37	$2K
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	16%	12	12	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	15	14	$591.56
81003		1.0%	162	152	$85.21

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 officialBABBITT, BRENDA (SYS. AVP MANAGED CARE/CONTRACTING)

Same official

Other billing entities under BABBITT, BRENDA

Full network →

Provider	Location	Paid
Virginia Hospital Center Physician Group LLC	Arlington, VA	$593K
Virginia Hospital Center Physician Group LLC	Arlington, VA	$223K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$163K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$138K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$129K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$55K
Virginia Hospital Center Physician Group LLC	Arlington, VA	$55K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$38K
Virginia Hospital Center Physician Group LLC	Arlington, VA	$28K
Virginia Hospital Center Physician Group LLC	Arlington, VA	$20K
Virginia Hospital Center Physician Group, LLC	Arlington, VA	$4K
Virginia Hospital Center Physician Group LLC	Alexandria, VA	$2K
Virginia Hospital Center Physician Group LLC	Arlington, VA	$914.03
Virginia Hospital Center Physician Group LLC	Arlington, VA	$625.81
Virginia Hospital Center Physician Group LLC	Alexandria, VA	$470.20

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.