Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Uva Culpeper Medical Center

Uva Culpeper Medical Center was paid $53.94M by Medicaid between Jan 2018 and Dec 2024, across 309 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoUVA CULPEPER MEDICAL CENTER
CULPEPER, VA 22701
33aNPI1669538047assigned 12/29/2006
28Total paid$53.94M
24GClaims1,045,825
24DCodes billed309
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Virginia

Rank by total paid#2 of 78
Median peer was paid$37K
This provider vs. median1,464×

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 CODER, CHARLES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018112,331$2.91M
2019158,518$5.07M
2020137,868$5.14M
2021159,224$5.87M
2022168,008$9.57M
2023165,217$14.20M
2024incomplete144,659$11.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 29,657 24,546 $6.76M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 23,146 20,533 $5.56M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9.6% 32,806 25,422 $5.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.1% 19,699 17,803 $4.36M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 10,813 9,228 $2.96M
96361 Intravenous infusion, hydration; each additional hour 5.4% 10,057 8,422 $2.89M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.7% 8,993 7,922 $2.55M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.5% 39,292 10,433 $2.42M
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 4.3% 8,629 7,650 $2.31M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.7% 5,199 4,662 $1.44M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.6% 10,548 3,152 $1.40M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.4% 7,307 5,543 $1.28M
297 more codes
70450 Computed tomography, head or brain; without contrast material 2.1% 5,534 $1.14M
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.9% 5,545 $1.01M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.7% 5,672 $926K
59025 Fetal non-stress test 1.3% 2,841 $691K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 3,248 $688K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 2,322 $626K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 1,695 $582K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,289 $510K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,308 $506K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12,304 $500K
G0378 Hospital observation service, per hour <1% 3,311 $466K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,951 $464K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 768 $442K
87631 <1% 7,805 $340K
99215 Doctor's office visit, returning patient (complex) <1% 1,099 $337K
20610 <1% 1,209 $315K
97161 <1% 2,111 $275K
80053 Comprehensive metabolic panel <1% 48,589 $272K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,354 $260K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,160 $234K
99204 Doctor's office visit, new patient (more involved) <1% 915 $227K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,350 $218K
76801 <1% 2,136 $211K
93971 <1% 1,521 $182K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 709 $177K
97163 <1% 1,917 $142K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,440 $139K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,550 $125K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,071 $116K
99203 Doctor's office visit, new patient (routine) <1% 385 $107K
84443 Thyroid stimulating hormone (TSH) <1% 10,740 $99K
96367 <1% 1,503 $92K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 45,103 $81K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,614 $79K
96415 <1% 171 $77K
64483 <1% 56 $72K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 978 $72K
76830 Ultrasound, transvaginal <1% 710 $71K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,170 $69K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 55 $66K
72125 Computed tomography, cervical spine; without contrast material <1% 1,192 $65K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,436 $65K
90715 <1% 2,143 $56K
71046 Radiologic examination, chest; 2 views <1% 5,245 $54K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,122 $50K
36415 Collection of venous blood by venipuncture <1% 26,656 $48K
80061 Lipid panel <1% 8,815 $47K
83036 Hemoglobin; glycosylated (A1C) <1% 8,683 $47K
80048 Basic metabolic panel (calcium, ionized) <1% 10,131 $46K
84703 <1% 13,258 $41K
93976 <1% 315 $37K
97165 <1% 197 $35K
83880 <1% 3,930 $35K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 653 $34K
84439 <1% 3,857 $33K
73630 <1% 2,534 $28K
96375 Therapeutic injection; each additional sequential IV push <1% 14,845 $28K
85027 <1% 18,496 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,136 $26K
97116 <1% 1,172 $26K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 275 $26K
86803 <1% 3,140 $26K
73610 <1% 2,380 $25K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,580 $24K
93017 <1% 221 $24K
82607 <1% 2,395 $23K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 218 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 93 $22K
73030 <1% 1,890 $21K
96368 <1% 1,106 $21K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,169 $20K
82728 <1% 3,171 $20K
87040 <1% 2,502 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 370 $17K
72110 <1% 1,075 $17K
73564 <1% 2,625 $16K
77063 Screening digital breast tomosynthesis, bilateral <1% 310 $16K
84484 <1% 13,317 $16K
93000 <1% 11,032 $15K
73130 <1% 1,570 $15K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 481 $15K
81003 <1% 13,070 $15K
84466 <1% 3,428 $15K
71045 Radiologic examination, chest; single view <1% 13,434 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,363 $13K
70496 <1% 28 $13K
72100 <1% 1,193 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,598 $13K
86780 <1% 2,450 $12K
76770 <1% 105 $12K
73110 <1% 1,214 $12K
87081 <1% 4,820 $11K
97162 <1% 75 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 10,204 $11K
84481 <1% 141 $10K
84702 <1% 2,179 $10K
83540 <1% 3,639 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,939 $10K
82948 <1% 8,776 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,617 $9K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,240 $9K
12001 <1% 43 $9K
0352U <1% 978 $9K
85379 <1% 1,898 $9K
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 <1% 900 $9K
J1756 Injection, iron sucrose, 1 mg <1% 610 $9K
74018 <1% 757 $8K
86850 <1% 4,673 $8K
80329 <1% 785 $8K
29125 <1% 57 $8K
82570 <1% 2,116 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 118 $8K
80076 <1% 1,868 $7K
92523 <1% 40 $7K
83735 <1% 8,247 $7K
J3490 Unclassified drugs <1% 15,332 $7K
10060 <1% 27 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 31 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 88 $7K
84146 <1% 315 $6K
87340 <1% 3,791 $6K
86140 <1% 1,523 $6K
82746 <1% 1,519 $6K
76642 <1% 49 $6K
97167 <1% 40 $6K
83605 <1% 3,858 $5K
82951 <1% 593 $5K
85610 <1% 4,962 $5K
81025 <1% 2,559 $5K
81001 <1% 15,207 $5K
96376 <1% 5,913 $4K
80306 <1% 2,311 $4K
87507 <1% 42 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,188 $4K
J7050 Infusion, normal saline solution, 250 cc <1% 14,703 $4K
80320 <1% 1,917 $4K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) <1% 263 $3K
73080 <1% 246 $3K
82043 <1% 978 $3K
84403 <1% 345 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 753 $3K
85652 <1% 1,411 $3K
86900 <1% 3,821 $3K
87186 <1% 3,121 $3K
12011 <1% 12 $3K
73140 <1% 158 $3K
72040 <1% 201 $3K
90686 <1% 85 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,418 $2K
82247 <1% 315 $2K
73502 <1% 374 $2K
73562 <1% 139 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 8,592 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 429 $2K
93970 <1% 12 $2K
G0008 Administration of influenza virus vaccine <1% 337 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 903 $2K
81511 <1% 12 $2K
83690 <1% 9,808 $2K
82248 <1% 329 $2K
87480 <1% 89 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,933 $2K
A9270 Non-covered item or service <1% 82,516 $2K
86901 <1% 3,829 $2K
87088 <1% 2,225 $2K
86704 <1% 414 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 9,978 $1K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 14 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 324 $1K
84100 <1% 1,487 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 121 $1K
90656 <1% 46 $1K
85045 <1% 881 $1K
88342 <1% 153 $1K
82977 <1% 173 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 312 $1K
72050 <1% 55 $1K
86706 <1% 431 $989.34
85730 <1% 2,199 $986.83
97535 Self-care/home management training, each 15 minutes <1% 49 $979.40
88142 <1% 491 $968.64
84550 <1% 767 $895.01
83001 <1% 159 $886.55
82803 <1% 1,974 $818.55
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,380 $796.05
72131 <1% 17 $790.82
70486 <1% 13 $784.65
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 769 $765.07
73560 <1% 220 $721.48
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,305 $709.09
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 12 $705.68
87077 <1% 400 $702.45
76819 Fetal biophysical profile; without non-stress testing <1% 21 $663.03
70498 <1% 27 $582.48
82962 <1% 2,200 $582.24
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,950 $557.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,238 $507.32
85007 <1% 263 $491.13
83615 <1% 560 $476.51
73590 <1% 127 $471.09
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 42 $466.68
83525 <1% 85 $459.92
84156 <1% 444 $458.01
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,487 $451.26
J1040 Injection, methylprednisolone acetate, 80 mg <1% 629 $448.51
73090 <1% 111 $400.04
82550 <1% 451 $357.26
86762 <1% 263 $306.52
86709 <1% 46 $281.71
82950 <1% 301 $279.02
J2060 Injection, lorazepam, 2 mg <1% 2,172 $274.95
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,264 $273.85
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 441 $249.29
86787 <1% 306 $234.97
87070 <1% 146 $222.54
85651 <1% 152 $220.66
83655 <1% 39 $212.76
83020 <1% 59 $209.02
84270 <1% 32 $181.23
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,041 $178.69
87205 <1% 398 $171.72
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,222 $163.73
86038 <1% 13 $150.20
J0690 Injection, cefazolin sodium, 500 mg <1% 1,926 $148.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,293 $146.34
84450 <1% 28 $129.85
82565 <1% 198 $128.52
82670 <1% 26 $123.76
87807 <1% 364 $112.79
84153 <1% 12 $112.14
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 41 $91.34
85014 <1% 278 $85.52
86885 <1% 300 $84.76
87660 <1% 89 $82.33
J1815 Injection, insulin, per 5 units <1% 1,226 $81.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,064 $80.20
J0780 Injection, prochlorperazine, up to 10 mg <1% 967 $79.28
84402 <1% 14 $71.66
84460 <1% 15 $70.21
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 185 $65.60
87210 <1% 156 $50.46
J3475 Injection, magnesium sulfate, per 500 mg <1% 866 $48.54
80050 General health panel <1% 12 $47.32
82272 <1% 46 $43.61
87510 <1% 89 $43.29
85018 <1% 329 $41.75
J1170 Injection, hydromorphone, up to 4 mg <1% 419 $41.01
82150 <1% 14 $38.19
C9113 Injection, pantoprazole sodium, per vial <1% 305 $36.58
J3370 Injection, vancomycin hcl, 500 mg <1% 240 $22.86
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 300 $20.78
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 161 $18.21
J1644 Injection, heparin sodium, per 1000 units <1% 334 $17.76
J2704 Injection, propofol, 10 mg <1% 3,098 $5.76
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 860 $4.14
J3360 Injection, diazepam, up to 5 mg <1% 121 $2.22
J1030 Injection, methylprednisolone acetate, 40 mg <1% 157 $1.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 70 $1.57
J1940 Injection, furosemide, up to 20 mg <1% 56 $1.29
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 17 $1.08
J1790 Injection, droperidol, up to 5 mg <1% 50 $1.00
84132 <1% 17 $0.95
94760 <1% 1,564 $0.68
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 445 $0.15
J1010 Injection, methylprednisolone acetate, 1 mg 0% 150 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 191 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 31 $0.00
88304 0% 13 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 667 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 39 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 212 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 161 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 38 $0.00
73501 0% 13 $0.00
C1769 Guide wire 0% 38 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 18 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 171 $0.00
87147 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,542 $0.00
J7510 Prednisolone oral, per 5 mg 0% 68 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 15 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 59 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 477 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 515 $0.00
82009 0% 16 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 205 $0.00
80179 0% 597 $0.00
76000 0% 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 148 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 144 $0.00
80143 0% 362 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 48 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 15 $0.00
84295 0% 13 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 0% 16 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 48 $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 officialCODER, CHARLES (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under CODER, CHARLES

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