Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Begley, Charles

Begley, Charles was paid $188K by Medicaid between Jan 2018 and Nov 2018, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoBEGLEY, CHARLES
NORTON, VA 24273
33aNPI1679519698assigned 06/20/2006
33bProvider typePediatrics Physician
28Total paid$188K
24GClaims5,186
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#188 of 817
Median peer was paid$29K
This provider vs. median6.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
20185,186$188K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 1,134 1,014 $63K
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 32% 752 704 $60K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.1% 167 165 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.9% 152 150 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5.9% 823 370 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 278 251 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 353 346 $3K
92561 1.5% 100 97 $3K
90670 1.5% 161 159 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 34 33 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 27 26 $2K
90686 1.2% 185 184 $2K
13 more codes
95117 1.1% 222 $2K
90648 1.0% 176 $2K
87807 1.0% 147 $2K
90685 <1% 104 $1K
90723 <1% 45 $631.79
90734 <1% 33 $470.04
99173 <1% 160 $398.86
92558 <1% 18 $362.34
90651 <1% 30 $333.30
90633 <1% 28 $319.00
90696 <1% 24 $265.10
90710 <1% 21 $231.00
90681 <1% 12 $136.40

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.