Physician
Hampton Roads Orthopaedic & Sports Medicine LLC
Hampton Roads Orthopaedic & Sports Medicine LLC was paid $920K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoHAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1790719300assigned 07/10/2006
33bProvider typeInterventional Pain Medicine Physician
28Total paid$920K
24GClaims27,336
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Virginia
Rank by total paid#2 of 12
Median peer was paid$21K
This provider vs. median43×
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 | 9,545 | $56K | |
| 2019 | 2,577 | $72K | |
| 2020 | 966 | $36K | |
| 2021 | 3,470 | $156K | |
| 2022 | 3,433 | $176K | |
| 2023 | 3,935 | $227K | |
| 2024incomplete | 3,410 | $196K |
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 | 41% | 6,238 | 5,450 | $373K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 8,202 | 6,832 | $302K |
| 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 | 6.3% | 612 | 586 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 683 | 634 | $41K |
| 20611 | 3.6% | 501 | 411 | $33K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 332 | 298 | $33K |
| 73620 | 2.1% | 997 | 811 | $19K | |
| 99205 | Prolong outpt/office vis | 1.7% | 150 | 125 | $16K |
| 73630 | 1.4% | 496 | 447 | $13K | |
| 72100 | 1.3% | 486 | 463 | $12K | |
| 73560 | <1% | 321 | 291 | $7K | |
| 80305 | <1% | 429 | 355 | $3K |
26 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 419 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 178 | $2K |
| 64483 | <1% | 17 | $1K | |
| 72110 | <1% | 28 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 90 | $652.65 |
| 20610 | <1% | 13 | $628.56 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 23 | $573.70 |
| 73502 | <1% | 14 | $287.94 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 266 | $33.43 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 36 | $7.87 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 687 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,289 | $0.00 |
| 4040F | 0% | 238 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 533 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,287 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 144 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 20 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 244 | $0.00 |
| 4004F | 0% | 15 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 15 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 751 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 495 | $0.00 |
| 1036F | 0% | 869 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 125 | $0.00 |
| 1101F | 0% | 78 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 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 officialBADDAR, ADRIAN (PARTNER)