Physician
Emporia Medical Associates PC
Emporia Medical Associates PC was paid $2.84M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoEMPORIA MEDICAL ASSOCIATES PC
EMPORIA, VA 23847
EMPORIA, VA 23847
33aNPI1811061013assigned 11/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.84M
24GClaims244,984
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#14 of 772
Median peer was paid$13K
This provider vs. median217×
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 | 16,651 | $143K | |
| 2019 | 26,019 | $315K | |
| 2020 | 25,187 | $301K | |
| 2021 | 32,483 | $454K | |
| 2022 | 48,631 | $578K | |
| 2023 | 51,051 | $584K | |
| 2024incomplete | 44,962 | $464K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 24,516 | 20,586 | $1.07M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 18,487 | 16,124 | $595K |
| 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% | 5,872 | 5,000 | $306K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 3,421 | 3,184 | $95K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.5% | 7,454 | 4,977 | $71K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 5,683 | 5,271 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 759 | 731 | $63K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,768 | 2,086 | $54K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 10,950 | 9,508 | $53K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.8% | 10,386 | 9,013 | $52K |
| 80061 | Lipid panel | 1.4% | 5,325 | 4,612 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 495 | 479 | $38K |
84 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 427 | $33K |
| 1159F | <1% | 26,745 | $26K | |
| 1160F | <1% | 25,211 | $25K | |
| 99406 | <1% | 2,888 | $20K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,379 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,456 | $17K |
| 3008F | <1% | 18,847 | $17K | |
| 3074F | <1% | 9,188 | $13K | |
| 3078F | <1% | 8,021 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,456 | $11K |
| 81001 | <1% | 4,751 | $11K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 780 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 126 | $9K |
| 80076 | <1% | 2,733 | $9K | |
| 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) | <1% | 1,491 | $9K |
| 3079F | <1% | 4,103 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 95 | $7K |
| 3077F | <1% | 3,370 | $6K | |
| 90619 | <1% | 89 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | $5K |
| 3011F | <1% | 3,133 | $4K | |
| 1125F | <1% | 3,982 | $4K | |
| 90670 | <1% | 161 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 239 | $3K |
| 3075F | <1% | 1,637 | $3K | |
| 1126F | <1% | 3,250 | $3K | |
| 90734 | <1% | 124 | $3K | |
| 3080F | <1% | 2,000 | $3K | |
| 99318 | <1% | 200 | $3K | |
| 90651 | <1% | 55 | $3K | |
| 99307 | <1% | 516 | $3K | |
| 90710 | <1% | 81 | $3K | |
| 87428 | <1% | 56 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $2K |
| 90633 | <1% | 157 | $2K | |
| 90715 | <1% | 115 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 151 | $2K |
| 90686 | <1% | 129 | $1K | |
| 90698 | <1% | 92 | $1K | |
| 81025 | <1% | 152 | $1K | |
| 99173 | <1% | 370 | $922.27 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 48 | $844.18 |
| 90696 | <1% | 68 | $822.05 | |
| 3044F | <1% | 178 | $465.00 | |
| 83735 | <1% | 221 | $432.89 | |
| 80053 | Comprehensive metabolic panel | <1% | 194 | $325.94 |
| 90756 | <1% | 32 | $309.73 | |
| 90744 | <1% | 30 | $303.16 | |
| 90688 | <1% | 25 | $268.20 | |
| 99000 | <1% | 83 | $153.87 | |
| 90716 | <1% | 14 | $144.65 | |
| 90707 | <1% | 13 | $132.55 | |
| 85018 | <1% | 51 | $129.10 | |
| 90662 | <1% | 27 | $123.32 | |
| 90653 | <1% | 24 | $119.12 | |
| 92551 | <1% | 12 | $118.32 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 132 | $109.68 |
| 99441 | <1% | 12 | $107.52 | |
| 82570 | <1% | 29 | $96.08 | |
| 4010F | <1% | 187 | $89.00 | |
| 82043 | <1% | 29 | $81.02 | |
| 81003 | <1% | 43 | $61.18 | |
| 85014 | <1% | 15 | $37.99 | |
| G0008 | Administration of influenza virus vaccine | <1% | 76 | $19.55 |
| 0513F | <1% | 42 | $16.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 278 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 186 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 225 | $0.00 |
| 1036F | 0% | 476 | $0.00 | |
| 3017F | 0% | 313 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 46 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14 | $0.00 |
| 1034F | 0% | 27 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 113 | $0.00 |
| 4040F | 0% | 102 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 259 | $0.00 |
| 4004F | 0% | 26 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 151 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 24 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 15 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 100 | $0.00 |
| 3046F | 0% | 12 | $0.00 | |
| 91300 | 0% | 18 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 20 | $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 officialANDERSON, MICHAEL (GROUP PRESIDENT)
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