Physician
Starting Point of Virginia, P.C.
Starting Point of Virginia, P.C. was paid $28.98M by Medicaid between Dec 2018 and Dec 2024, across 29 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 27% of everything it billed.
33Billing provider infoSTARTING POINT OF VIRGINIA, P.C.
ABINGDON, VA 24210
ABINGDON, VA 24210
33aNPI1760949127assigned 02/21/2019
33bProvider typeAddiction Medicine (Psychiatry & Neurology) Physician
28Total paid$28.98M
24GClaims408,448
24DCodes billed29
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Psychiatry & Neurology) Physician providers in Virginia
Rank by total paid#1 of 6
Median peer was paid$63K
This provider vs. median459×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCCORMAC, RUPERT controls 20+ related entities in our dataset. Read more
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 | 40 | $0.00 | |
| 2019 | 16,635 | $397K | |
| 2020 | 33,978 | $2.40M | |
| 2021 | 92,331 | $6.90M | |
| 2022 | 75,843 | $6.00M | |
| 2023 | 96,052 | $6.54M | |
| 2024incomplete | 93,569 | $6.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 27% | 39,528 | 36,062 | $7.95M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 18% | 95,724 | 55,784 | $5.23M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 14% | 40,553 | 18,348 | $4.04M |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 9.7% | 20,184 | 11,998 | $2.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 49,334 | 36,671 | $2.49M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 8.2% | 34,796 | 30,014 | $2.38M |
| 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 | 6.3% | 27,753 | 18,273 | $1.83M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.4% | 46,262 | 32,909 | $988K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 6,515 | 3,213 | $465K |
| 80305 | 1.1% | 28,996 | 21,134 | $314K | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 1,790 | 1,676 | $211K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 848 | 805 | $93K |
17 more codes
| 99408 | <1% | 2,830 | $60K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 851 | $24K |
| 99406 | <1% | 3,824 | $23K | |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 3,012 | $23K |
| S0109 | Methadone, oral, 5 mg | <1% | 4,341 | $17K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 254 | $16K |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | <1% | 59 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 127 | $2K |
| 82075 | <1% | 415 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $966.01 |
| 81025 | <1% | 170 | $941.70 | |
| 99484 | <1% | 62 | $470.01 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $463.48 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $442.78 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 93 | $406.00 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 0% | 16 | $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 officialMCCORMAC, RUPERT (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.