Physician
Loudoun Medical Group, PC
Loudoun Medical Group, PC was paid $12.37M by Medicaid between Jan 2018 and Dec 2024, across 183 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoLOUDOUN MEDICAL GROUP, PC
LEESBURG, VA 20176
LEESBURG, VA 20176
33aNPI1679591440assigned 07/18/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$12.37M
24GClaims376,867
24DCodes billed183
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#1 of 243
Median peer was paid$8K
This provider vs. median1,521×
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 | 29,658 | $722K | |
| 2019 | 42,488 | $1.18M | |
| 2020 | 41,188 | $1.44M | |
| 2021 | 60,369 | $2.01M | |
| 2022 | 76,640 | $2.64M | |
| 2023 | 73,951 | $2.55M | |
| 2024incomplete | 52,573 | $1.82M |
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 | 26% | 54,839 | 45,576 | $3.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 45,978 | 38,994 | $2.07M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 19,187 | 16,258 | $1.40M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.7% | 7,401 | 6,716 | $831K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 20,850 | 4,592 | $461K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.1% | 6,276 | 5,357 | $384K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.6% | 749 | 697 | $316K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 8,669 | 2,624 | $303K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 3,144 | 2,979 | $300K |
| 92015 | Determination of refractive state | 2.0% | 16,746 | 15,402 | $252K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 3,601 | 3,356 | $221K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 3,136 | 2,751 | $219K |
171 more codes
| 95811 | 1.7% | 568 | $214K | |
| 92250 | 1.7% | 13,964 | $205K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.5% | 2,191 | $190K |
| 90837 | Psychotherapy session, about an hour | 1.4% | 1,478 | $171K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,180 | $99K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 927 | $90K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,016 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,832 | $64K |
| 92060 | <1% | 1,271 | $63K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,772 | $58K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,076 | $56K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 209 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,930 | $46K |
| 92083 | <1% | 2,027 | $41K | |
| 80061 | Lipid panel | <1% | 5,356 | $36K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 827 | $35K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,134 | $33K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,743 | $32K |
| 80050 | General health panel | <1% | 2,911 | $31K |
| 90686 | <1% | 2,799 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 411 | $29K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,986 | $29K |
| 92134 | <1% | 1,630 | $26K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 216 | $26K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,025 | $25K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 233 | $23K |
| 3008F | <1% | 13,969 | $23K | |
| 1159F | <1% | 15,996 | $22K | |
| 73630 | <1% | 1,047 | $22K | |
| 92002 | <1% | 298 | $22K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,901 | $21K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 266 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,570 | $20K |
| 80053 | Comprehensive metabolic panel | <1% | 4,672 | $18K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 229 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 235 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 490 | $15K |
| 83861 | <1% | 4,430 | $15K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,359 | $14K |
| 87428 | <1% | 294 | $13K | |
| 88312 | <1% | 155 | $12K | |
| 92133 | <1% | 974 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,595 | $11K |
| 99000 | <1% | 6,800 | $11K | |
| 94010 | <1% | 730 | $10K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,740 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 151 | $10K |
| 88342 | <1% | 180 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 124 | $9K |
| 82607 | <1% | 1,197 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 223 | $9K |
| 81002 | <1% | 3,672 | $8K | |
| 2010F | <1% | 4,653 | $8K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,699 | $8K |
| 88313 | <1% | 124 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 219 | $7K |
| 0502F | <1% | 1,338 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 924 | $6K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 118 | $6K |
| 84153 | <1% | 681 | $6K | |
| 84439 | <1% | 1,497 | $6K | |
| 92557 | <1% | 209 | $6K | |
| 87631 | <1% | 83 | $6K | |
| 95800 | <1% | 45 | $5K | |
| 90670 | <1% | 132 | $4K | |
| 2001F | <1% | 2,703 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $4K |
| 92225 | <1% | 1,264 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,272 | $4K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 67 | $3K |
| 1160F | <1% | 3,645 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $3K |
| 82728 | <1% | 596 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 147 | $3K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 67 | $3K |
| 81001 | <1% | 1,142 | $2K | |
| 99490 | Ccm add 20min | <1% | 1,078 | $2K |
| 99307 | <1% | 908 | $2K | |
| 2000F | <1% | 884 | $2K | |
| 82747 | <1% | 316 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 33 | $2K |
| 90461 | <1% | 1,157 | $2K | |
| 94729 | <1% | 54 | $2K | |
| 95115 | <1% | 214 | $2K | |
| 92136 | <1% | 59 | $1K | |
| 83550 | <1% | 379 | $1K | |
| 87081 | <1% | 239 | $1K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 41 | $1K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 16 | $1K |
| 94727 | <1% | 54 | $1K | |
| 93015 | <1% | 25 | $1K | |
| 83540 | <1% | 396 | $1K | |
| 91320 | <1% | 15 | $1K | |
| 94760 | <1% | 2,176 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 944 | $1K |
| 84481 | <1% | 149 | $1K | |
| 93000 | <1% | 171 | $974.89 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $956.06 |
| 83516 | <1% | 743 | $935.41 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 132 | $873.69 |
| 90648 | <1% | 87 | $862.07 | |
| 92587 | <1% | 181 | $837.33 | |
| 88738 | <1% | 342 | $822.35 | |
| 87634 | <1% | 15 | $764.17 | |
| 99173 | <1% | 313 | $702.95 | |
| 87807 | <1% | 59 | $702.81 | |
| 82652 | <1% | 67 | $690.89 | |
| 81015 | <1% | 388 | $688.72 | |
| 90961 | <1% | 14 | $664.82 | |
| 99402 | <1% | 29 | $654.45 | |
| 90680 | <1% | 30 | $648.56 | |
| 97161 | <1% | 15 | $620.66 | |
| 96127 | <1% | 137 | $593.37 | |
| 0071A | <1% | 13 | $524.00 | |
| 0503F | <1% | 48 | $512.50 | |
| 0013A | <1% | 14 | $492.00 | |
| 73560 | <1% | 28 | $460.56 | |
| 84702 | <1% | 159 | $452.51 | |
| 92567 | <1% | 38 | $447.89 | |
| 0134A | <1% | 12 | $410.00 | |
| 4037F | <1% | 352 | $400.00 | |
| 90698 | <1% | 15 | $394.80 | |
| 92226 | <1% | 38 | $382.29 | |
| 73562 | <1% | 18 | $370.73 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 22 | $351.16 |
| 99439 | <1% | 139 | $350.48 | |
| 90653 | <1% | 12 | $326.69 | |
| 51798 | <1% | 54 | $324.45 | |
| 92202 | <1% | 55 | $285.62 | |
| 99487 | Ccm add 20min | <1% | 35 | $276.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | $269.98 |
| 3078F | <1% | 38 | $250.00 | |
| 90723 | <1% | 19 | $225.92 | |
| 92201 | <1% | 16 | $213.20 | |
| 90674 | <1% | 14 | $177.24 | |
| 82570 | <1% | 55 | $168.76 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 32 | $154.32 |
| 90480 | <1% | 13 | $142.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $139.44 |
| 90756 | <1% | 49 | $137.52 | |
| 90651 | <1% | 12 | $132.00 | |
| 4274F | <1% | 35 | $125.00 | |
| 82043 | <1% | 55 | $120.07 | |
| 92551 | <1% | 12 | $118.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 91 | $105.16 |
| 99001 | <1% | 269 | $94.95 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 15 | $85.45 |
| 81025 | <1% | 12 | $80.67 | |
| G0008 | Administration of influenza virus vaccine | <1% | 75 | $45.38 |
| 90694 | <1% | 15 | $40.16 | |
| 90688 | <1% | 13 | $29.50 | |
| 85018 | <1% | 16 | $26.31 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 71 | $6.30 |
| 36416 | <1% | 134 | $6.21 | |
| 91300 | <1% | 63 | $0.30 | |
| 91301 | <1% | 18 | $0.13 | |
| 91313 | <1% | 12 | $0.06 | |
| 91307 | <1% | 13 | $0.04 | |
| 3074F | 0% | 18 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 35 | $0.00 |
| 3061F | 0% | 32 | $0.00 | |
| 4010F | 0% | 19 | $0.00 | |
| 83721 | 0% | 84 | $0.00 | |
| 99072 | 0% | 109 | $0.00 | |
| 2022F | 0% | 31 | $0.00 | |
| 3077F | 0% | 29 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 3725F | 0% | 12 | $0.00 | |
| 99497 | 0% | 12 | $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 officialTAMASY, MARY BETH (CEO)