Physician
Optima Health Plan
Optima Health Plan was paid $156.56 by Medicaid between Apr 2023 and Apr 2023, across 2 billing codes. Its largest line is 90619, — 91% of everything it billed.
33Billing provider infoOPTIMA HEALTH PLAN
NORFOLK, VA 23523
NORFOLK, VA 23523
33aNPI1679294201assigned 09/12/2022
33bProvider typeInternal Medicine Physician
28Total paid$156.56
24GClaims36
24DCodes billed2
24AFirst – last monthApr 2023 – Apr 2023
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#460 of 478
Median peer was paid$17K
This provider vs. median0.0×
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.
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 | |
|---|---|---|---|
| 2023 | 36 | $156.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90619 | 91% | 18 | 14 | $143.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.7% | 18 | 14 | $13.56 |
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 officialPRINCE, DORIS (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sentara Medical Group | Norfolk, VA | $48.77M |
| Albemarle Physician Services - Sentara, INC | Norfolk, VA | $2.76M |
| Sentara Therapy Solutions, LLC | Norfolk, VA | $883K |
| Sentara Advanced Imaging Solutions, LLC | Norfolk, VA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.