Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Chesapeake › NPI 1710180120
Physician

Peninsula Cancer Institute, LLC

Peninsula Cancer Institute, LLC was paid $103K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 40% of everything it billed.

33Billing provider infoPENINSULA CANCER INSTITUTE, LLC
CHESAPEAKE, VA 23320
33aNPI1710180120assigned 06/06/2007
28Total paid$103K
24GClaims8,121
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Virginia

Rank by total paid#9 of 20
Median peer was paid$62K
This provider vs. median1.7×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,560$3K
20192,349$16K
2020683$6K
2021637$14K
20221,009$19K
2023973$22K
2024incomplete910$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 40% 440 323 $41K
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 28% 732 663 $29K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20% 4,531 3,257 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.3% 606 453 $7K
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) 3.8% 579 520 $4K
36415 Collection of venous blood by venipuncture <1% 1,086 870 $779.10
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement <1% 112 103 $288.00
80053 Comprehensive metabolic panel 0% 35 25 $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 officialLESNICK, JAMES (VICE PRESIDENT)
Same official

Other billing entities under LESNICK, JAMES

Full network →
ProviderLocationPaid
Riverside Physician Services, INC.Newport News, VA$44.72M
Riverside Hospital INC.Newport News, VA$7.74M
Riverside Physician Services INCNewport News, VA$428K
Riverside Physician Services INCHampton, VA$64K
Riverside Physician Services INCNewport News, VA$3K
Riverside Physician Services INCWilliamsburg, VA$540.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.