Physician
Centra Medical Group, LLC
Centra Medical Group, LLC was paid $60.16M by Medicaid between Jan 2018 and Dec 2024, across 254 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoCENTRA MEDICAL GROUP, LLC
LYNCHBURG, VA 24503
LYNCHBURG, VA 24503
33aNPI1649228966assigned 05/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$60.16M
24GClaims1,340,904
24DCodes billed254
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#1 of 772
Median peer was paid$13K
This provider vs. median4,593×
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 ADDISON, LEWIS controls 12+ 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 | 121,646 | $3.57M | |
| 2019 | 220,568 | $9.64M | |
| 2020 | 156,573 | $7.37M | |
| 2021 | 191,427 | $8.78M | |
| 2022 | 214,009 | $9.15M | |
| 2023 | 243,261 | $11.52M | |
| 2024incomplete | 193,420 | $10.12M |
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 | 21% | 223,287 | 193,394 | $12.35M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 166,437 | 153,228 | $9.73M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 97,404 | 87,890 | $7.95M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 129,461 | 118,068 | $6.21M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 7.9% | 40,240 | 3,785 | $4.74M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 115,635 | 46,629 | $3.07M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.3% | 9,903 | 9,066 | $1.38M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 38,859 | 35,983 | $1.33M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 21,583 | 20,029 | $1.24M |
| 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 | 1.5% | 10,384 | 9,706 | $877K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 18,861 | 16,385 | $714K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 12,746 | 10,684 | $650K |
242 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 12,111 | $646K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 8,196 | $608K |
| 99223 | Prolong inpt eval add15 m | <1% | 8,914 | $553K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 15,916 | $512K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 4,663 | $505K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41,579 | $486K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 2,728 | $472K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 4,767 | $412K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,727 | $341K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,606 | $337K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19,883 | $232K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,246 | $218K |
| 99460 | <1% | 4,093 | $217K | |
| 90839 | <1% | 1,627 | $179K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 6,704 | $169K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 2,901 | $164K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,067 | $163K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 280 | $137K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 858 | $124K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 3,496 | $123K |
| 97803 | <1% | 3,231 | $119K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,443 | $118K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 11,703 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,533 | $107K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 1,701 | $103K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,152 | $92K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 7,789 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,510 | $90K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,282 | $88K |
| 36415 | Collection of venous blood by venipuncture | <1% | 48,745 | $71K |
| 80305 | <1% | 6,466 | $69K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 18,557 | $64K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 437 | $62K |
| 77066 | Tomosynthesis, mammo | <1% | 1,856 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 775 | $57K |
| 93298 | <1% | 4,580 | $57K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,425 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,611 | $55K |
| 71045 | Radiologic examination, chest; single view | <1% | 11,267 | $54K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,887 | $53K |
| 93000 | <1% | 5,448 | $52K | |
| 99221 | <1% | 921 | $52K | |
| 93297 | <1% | 4,936 | $51K | |
| 90686 | <1% | 4,267 | $50K | |
| 95816 | <1% | 485 | $50K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 784 | $48K |
| 76801 | <1% | 728 | $46K | |
| 90785 | <1% | 4,605 | $45K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 479 | $42K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,736 | $40K |
| 00731 | <1% | 670 | $37K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 777 | $36K |
| 80053 | Comprehensive metabolic panel | <1% | 7,242 | $35K |
| 76830 | Ultrasound, transvaginal | <1% | 392 | $35K |
| 20610 | <1% | 1,344 | $34K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 678 | $34K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 574 | $33K |
| 99205 | Prolong outpt/office vis | <1% | 252 | $32K |
| 99219 | <1% | 432 | $31K | |
| 76641 | <1% | 1,206 | $31K | |
| 93295 | <1% | 1,697 | $29K | |
| 80061 | Lipid panel | <1% | 4,551 | $29K |
| 93320 | <1% | 1,714 | $28K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 515 | $27K |
| 99442 | <1% | 551 | $26K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,854 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,265 | $22K |
| 99000 | <1% | 22,403 | $22K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 392 | $21K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 276 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,466 | $19K |
| 93304 | <1% | 531 | $19K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 230 | $19K |
| 90870 | <1% | 237 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 251 | $18K |
| 95720 | <1% | 225 | $18K | |
| 99462 | <1% | 796 | $18K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 713 | $17K |
| 99443 | <1% | 375 | $17K | |
| 94060 | <1% | 812 | $16K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 209 | $15K |
| 64615 | <1% | 136 | $15K | |
| 94618 | <1% | 802 | $14K | |
| 95886 | <1% | 198 | $14K | |
| 97156 | <1% | 120 | $14K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 685 | $14K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 119 | $13K |
| 93325 | <1% | 3,306 | $13K | |
| 87807 | <1% | 1,012 | $12K | |
| 81001 | <1% | 4,970 | $12K | |
| 90670 | <1% | 502 | $12K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 585 | $12K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 230 | $11K |
| 99217 | <1% | 309 | $11K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 180 | $11K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 134 | $10K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 407 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 273 | $9K |
| 59430 | <1% | 59 | $8K | |
| 81025 | <1% | 1,350 | $8K | |
| 70498 | <1% | 174 | $8K | |
| 93294 | <1% | 842 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 242 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 794 | $7K |
| 70496 | <1% | 163 | $7K | |
| 74018 | <1% | 510 | $7K | |
| 71271 | <1% | 224 | $7K | |
| 81003 | <1% | 4,019 | $7K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 333 | $7K |
| 99053 | <1% | 6,267 | $7K | |
| 95819 | <1% | 29 | $7K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 254 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,127 | $6K |
| 99441 | <1% | 230 | $6K | |
| 97804 | <1% | 173 | $6K | |
| 93971 | <1% | 434 | $6K | |
| 76642 | <1% | 306 | $6K | |
| 97802 | <1% | 83 | $6K | |
| 99417 | Prolong home eval add 15m | <1% | 238 | $5K |
| 49083 | <1% | 71 | $5K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 272 | $5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 833 | $5K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 213 | $5K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 68 | $5K |
| 93458 | <1% | 28 | $5K | |
| 94664 | <1% | 678 | $4K | |
| 93321 | <1% | 605 | $4K | |
| 76770 | <1% | 176 | $4K | |
| 81002 | <1% | 1,898 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,912 | $3K |
| 77065 | Tomosynthesis, mammo | <1% | 130 | $3K |
| 90651 | <1% | 65 | $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% | 461 | $3K |
| 95718 | <1% | 53 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 75 | $2K |
| 93248 | <1% | 267 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 83 | $2K |
| 0002A | <1% | 66 | $2K | |
| 59025 | Fetal non-stress test | <1% | 97 | $2K |
| 90734 | <1% | 81 | $2K | |
| 90656 | <1% | 119 | $2K | |
| 51798 | <1% | 345 | $2K | |
| 99383 | <1% | 34 | $2K | |
| 99072 | <1% | 8,638 | $2K | |
| 80047 | <1% | 292 | $2K | |
| 71250 | <1% | 54 | $2K | |
| 94010 | <1% | 149 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 167 | $2K |
| 73564 | <1% | 173 | $2K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 94 | $2K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 47 | $2K |
| 95951 | <1% | 27 | $1K | |
| 99385 | <1% | 12 | $1K | |
| 97597 | <1% | 146 | $1K | |
| 92552 | <1% | 56 | $1K | |
| 99307 | <1% | 203 | $1K | |
| 90633 | <1% | 108 | $1K | |
| 73030 | <1% | 193 | $1K | |
| 90698 | <1% | 112 | $1K | |
| 99386 | <1% | 17 | $1K | |
| 99253 | <1% | 50 | $1K | |
| 0012A | <1% | 44 | $1K | |
| 90710 | <1% | 41 | $1K | |
| 81015 | <1% | 601 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 135 | $1K |
| 54150 | <1% | 17 | $1K | |
| 0001A | <1% | 71 | $1K | |
| 99234 | <1% | 17 | $1K | |
| 72100 | <1% | 144 | $1K | |
| 74230 | <1% | 75 | $976.28 | |
| 73565 | <1% | 41 | $950.15 | |
| 73560 | <1% | 51 | $918.17 | |
| 99464 | <1% | 20 | $885.92 | |
| 20553 | <1% | 29 | $776.80 | |
| G0008 | Administration of influenza virus vaccine | <1% | 262 | $762.82 |
| 99306 | Prolong nursin fac eval 15m | <1% | 19 | $755.44 |
| 73630 | <1% | 115 | $689.51 | |
| 90961 | <1% | 35 | $689.36 | |
| 82570 | <1% | 193 | $648.92 | |
| 82044 | <1% | 193 | $640.64 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 140 | $627.78 |
| 99173 | <1% | 276 | $621.13 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 13 | $608.66 |
| 94726 | <1% | 82 | $596.26 | |
| 94729 | <1% | 110 | $551.65 | |
| 90744 | <1% | 43 | $528.13 | |
| 99254 | <1% | 15 | $455.84 | |
| 90715 | <1% | 13 | $436.05 | |
| 76942 | <1% | 28 | $430.79 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $357.24 |
| 90680 | <1% | 31 | $345.39 | |
| 98968 | <1% | 18 | $328.66 | |
| 87210 | <1% | 74 | $307.41 | |
| 99152 | <1% | 50 | $292.31 | |
| 93018 | <1% | 41 | $285.94 | |
| 76870 | <1% | 15 | $271.44 | |
| 73130 | <1% | 44 | $250.99 | |
| 77001 | <1% | 54 | $242.14 | |
| 93016 | <1% | 29 | $227.09 | |
| 99251 | <1% | 30 | $199.85 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 64 | $195.36 |
| 0298T | <1% | 34 | $171.14 | |
| 73502 | <1% | 16 | $166.14 | |
| 83735 | <1% | 84 | $165.35 | |
| 73610 | <1% | 29 | $155.78 | |
| 0011A | <1% | 16 | $139.99 | |
| 90685 | <1% | 16 | $134.20 | |
| 99406 | <1% | 3,270 | $133.64 | |
| 72114 | <1% | 14 | $131.88 | |
| 85018 | <1% | 61 | $128.37 | |
| 92551 | <1% | 12 | $120.24 | |
| 98966 | <1% | 18 | $119.38 | |
| 82951 | <1% | 13 | $113.21 | |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement | <1% | 290 | $96.00 |
| 99305 | <1% | 21 | $85.47 | |
| 73110 | <1% | 13 | $82.41 | |
| 36416 | <1% | 351 | $80.62 | |
| 84484 | <1% | 15 | $74.22 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 126 | $72.99 |
| 86580 | <1% | 15 | $63.13 | |
| J3490 | Unclassified drugs | <1% | 64 | $59.46 |
| 90662 | <1% | 43 | $57.18 | |
| 99172 | <1% | 34 | $50.50 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 12 | $49.86 |
| 86140 | <1% | 14 | $37.87 | |
| 99497 | <1% | 16 | $31.40 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 186 | $28.92 |
| 85652 | <1% | 14 | $25.42 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 77 | $4.31 |
| 99407 | <1% | 528 | $2.47 | |
| 99024 | <1% | 3,861 | $1.68 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 197 | $0.00 |
| 4255F | 0% | 24 | $0.00 | |
| 1036F | 0% | 158 | $0.00 | |
| 94760 | 0% | 19 | $0.00 | |
| 90875 | 0% | 27 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 4,769 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 325 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 179 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 442 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 83 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 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 officialADDISON, LEWIS (SR VP, CFO)
| Provider | Location | Paid |
|---|---|---|
| Centra Health INC | Lynchburg, VA | $78.57M |
| Centra Health INC | Lynchburg, VA | $18.47M |
| Centra Health INC | Lynchburg, VA | $5.20M |
| Centra Health INC | Lynchburg, VA | $2.82M |
| Centra Health INC | Lynchburg, VA | $2.35M |
| Centra Health INC | Lynchburg, VA | $2.04M |
| Centra Health INC | Lynchburg, VA | $1.59M |
| Centra Health INC | Lynchburg, VA | $205K |
| Centra Health, INC. | Lynchburg, VA | $13K |
| Centra Medical Group, LLC | Lynchburg, VA | $12K |
| Centra Health INC | Lynchburg, VA | $7K |
| Centra Medical Group, LLC | Lynchburg, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.