Mount Vernon Internal Medicine

Mount Vernon Internal Medicine was paid $167K by Medicaid between Jan 2018 and Jun 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoMOUNT VERNON INTERNAL MEDICINE
ALEXANDRIA, VA 22306

33aNPI1679522338assigned 05/09/2006

33bProvider typeInternal Medicine Physician

28Total paid$167K

24GClaims11,629

24DCodes billed12

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#107 of 478

Median peer was paid$17K

This provider vs. median10×

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
2018	8,258	$115K
2019	3,371	$53K

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	56%	3,585	2,438	$93K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	2,012	1,449	$46K
99308	Subsequent nursing facility care, per day, straightforward	10%	2,921	1,416	$17K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.8%	553	273	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.6%	40	36	$3K
99307		1.3%	734	361	$2K
36415	Collection of venous blood by venipuncture	<1%	1,344	1,075	$1K
99490	Ccm add 20min	<1%	279	177	$463.45
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	70	46	$394.49
99305		<1%	35	26	$381.01
93000		<1%	42	36	$285.53
90674		<1%	14	13	$182.16

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 officialHERRERA, ALBERT (PRESIDENT)