Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC

NPI: 1689079055 · FREDERICKSBURG, VA 22401 · Family Medicine Physician · NPI assigned 10/28/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$397K
Total Medicaid Paid
20,118
Total Claims
10,085
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date10/28/2014

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
NAUTILUS HEALTH CARE GROUP LLC MELBOURNE FL $649K
HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC CLARKSVILLE TN $517K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC HOLYOKE MA $356K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC ALLEN TX $266K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
PONS PHYSICIAN SERVICES, PLLC CORTLAND NY $173K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,419 $25K
2019 4,487 $64K
2020 4,066 $87K
2021 2,593 $62K
2022 1,990 $59K
2023 1,876 $45K
2024 1,687 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,823 4,355 $223K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,436 3,938 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,715 1,087 $54K
97597 426 287 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 660 381 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 12 $796.90
11043 25 13 $321.26
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 12 $282.16