Great Falls Medical Center, LLC

Great Falls Medical Center, LLC was paid $197K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoGREAT FALLS MEDICAL CENTER, LLC
GREAT FALLS, VA 22066

33aNPI1689916991assigned 03/25/2013

33bProvider typeFamily Medicine Physician

28Total paid$197K

24GClaims3,711

24DCodes billed5

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#133 of 772

Median peer was paid$13K

This provider vs. median15×

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	140	$4K
2019	88	$2K
2020	307	$8K
2021	748	$43K
2022	583	$37K
2023	1,047	$63K
2024incomplete	798	$40K

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	90%	2,736	2,294	$177K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.0%	377	331	$18K
90688		<1%	100	99	$2K
36415	Collection of venous blood by venipuncture	<1%	437	434	$1K
36410		<1%	61	30	$115.92

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 officialHO, HIEU (MEDICAL DIRECTOR)