Virginia Commonwealth University Health System Authority

Virginia Commonwealth University Health System Authority was paid $1.88M by Medicaid between Jan 2018 and Feb 2023, across 20 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 42% of everything it billed.

33Billing provider infoVIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
HENRICO, VA 23233

33aNPI1780033050assigned 06/08/2016

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.88M

24GClaims13,641

24DCodes billed20

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#58 of 80

Median peer was paid$14.69M

This provider vs. median0.1×

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	891	$167K
2019	1,929	$332K
2020	2,293	$299K
2021	4,037	$495K
2022	4,136	$528K
2023	355	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	42%	4,148	3,565	$788K
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	23%	2,243	1,951	$424K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	1,701	1,544	$330K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	8.8%	3,044	1,055	$166K
20610		3.7%	171	142	$70K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	2.9%	1,370	505	$55K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	106	97	$17K
97535	Self-care/home management training, each 15 minutes	<1%	222	127	$11K
97161		<1%	39	38	$5K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	183	62	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	30	28	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$3K

8 more codes

73562		<1%	59	$863.22
73560		<1%	28	$502.44
73502		<1%	18	$289.59
73030		<1%	15	$175.33
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	144	$18.95
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	47	$11.31
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	0%	45	$0.00
A9577	Injection, gadobenate dimeglumine (multihance), per ml	0%	15	$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 officialDUVAL, JOHN (CEO)

Same official

Other billing entities under DUVAL, JOHN

Full network →

Provider	Location	Paid
Duvals Pharmacy INC	Whitman, MA	$0.00

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