NP / PA
Shenandoah Pain and Palliative Care Clinic, LLC
Shenandoah Pain and Palliative Care Clinic, LLC was paid $514K by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC
BROADWAY, VA 22815
BROADWAY, VA 22815
33aNPI1659919017assigned 12/17/2019
33bProvider typeNurse Practitioner
28Total paid$514K
24GClaims16,736
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Virginia
Rank by total paid#7 of 60
Median peer was paid$7K
This provider vs. median75×
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 | |
|---|---|---|---|
| 2020 | 1,327 | $57K | |
| 2021 | 2,121 | $84K | |
| 2022 | 3,082 | $90K | |
| 2023 | 5,466 | $145K | |
| 2024incomplete | 4,740 | $137K |
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 | 44% | 5,609 | 4,681 | $226K |
| 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% | 1,519 | 1,363 | $83K |
| 99484 | 13% | 5,477 | 4,983 | $69K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 2,343 | 1,995 | $58K |
| 99205 | Prolong outpt/office vis | 7.2% | 348 | 294 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 252 | 235 | $20K |
| 99441 | 3.6% | 814 | 664 | $18K | |
| 99442 | <1% | 25 | 24 | $1K | |
| 96127 | <1% | 164 | 155 | $627.11 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 29 | 28 | $505.55 |
| 81002 | <1% | 136 | 127 | $294.98 | |
| 99411 | <1% | 20 | 16 | $185.04 |
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 officialGARRISON, TABITHA (OWNER)