Physician
Physicians Care of Virginia PC
Physicians Care of Virginia PC was paid $2.40M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 33% of everything it billed.
33Billing provider infoPHYSICIANS CARE OF VIRGINIA PC
ROANOKE, VA 24014
ROANOKE, VA 24014
33aNPI1770688145assigned 09/13/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$2.40M
24GClaims66,130
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Virginia
Rank by total paid#3 of 117
Median peer was paid$4K
This provider vs. median600×
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 | 11,106 | $238K | |
| 2019 | 13,384 | $400K | |
| 2020 | 7,998 | $299K | |
| 2021 | 8,583 | $308K | |
| 2022 | 9,301 | $394K | |
| 2023 | 8,796 | $430K | |
| 2024incomplete | 6,962 | $334K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 33% | 12,532 | 10,920 | $791K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 11,083 | 5,003 | $290K |
| 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 | 11% | 6,948 | 5,847 | $262K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 6.0% | 6,137 | 3,406 | $144K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.6% | 3,033 | 1,344 | $135K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.3% | 1,863 | 1,591 | $127K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 5.2% | 790 | 659 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 3,649 | 3,163 | $106K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.9% | 744 | 621 | $69K |
| 36902 | 2.5% | 1,298 | 1,091 | $60K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 1,848 | 1,532 | $54K |
| 90961 | 1.8% | 764 | 636 | $42K |
34 more codes
| 93000 | 1.3% | 4,728 | $31K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.2% | 535 | $29K |
| 93015 | 1.1% | 928 | $27K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,216 | $20K |
| 93880 | <1% | 244 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 115 | $9K |
| 80069 | <1% | 1,636 | $8K | |
| 93970 | <1% | 223 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 141 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 74 | $6K |
| 81000 | <1% | 1,956 | $5K | |
| 99406 | <1% | 858 | $4K | |
| 99221 | <1% | 152 | $4K | |
| 93990 | <1% | 60 | $4K | |
| 93971 | <1% | 291 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $2K |
| 93985 | <1% | 19 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 20 | $2K |
| 83970 | <1% | 106 | $2K | |
| 82570 | <1% | 358 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 189 | $1K |
| 84156 | <1% | 362 | $796.05 | |
| 93248 | <1% | 98 | $677.11 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 56 | $563.41 |
| 36415 | Collection of venous blood by venipuncture | <1% | 320 | $487.13 |
| 0298T | <1% | 110 | $453.64 | |
| 93246 | <1% | 97 | $355.70 | |
| 81002 | <1% | 146 | $234.15 | |
| 0296T | <1% | 107 | $228.38 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $203.84 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 60 | $199.93 |
| 83735 | <1% | 58 | $180.44 | |
| 85018 | <1% | 90 | $123.38 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 25 | $58.00 |
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 officialJARRATT, ROBERT (CEO)