Piedmont Family Practice, PLC
Piedmont Family Practice, PLC was paid $656K by Medicaid between Jan 2018 and Jul 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoPIEDMONT FAMILY PRACTICE, PLC
WARRENTON, VA 20186
WARRENTON, VA 20186
33aNPI1811107097assigned 05/23/2007
33bProvider typeSpecialist
28Total paid$656K
24GClaims14,643
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#36 of 231
Median peer was paid$47K
This provider vs. median14×
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 | 1,374 | $29K | |
| 2019 | 2,569 | $83K | |
| 2020 | 2,154 | $110K | |
| 2021 | 2,635 | $123K | |
| 2022 | 2,963 | $148K | |
| 2023 | 2,221 | $117K | |
| 2024incomplete | 727 | $45K |
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 | 89% | 10,328 | 8,642 | $583K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 910 | 780 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 231 | 213 | $6K |
| 99401 | <1% | 221 | 183 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 197 | 185 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 930 | 401 | $5K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 62 | 56 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 111 | 104 | $2K |
| 0002A | <1% | 73 | 70 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 738 | 666 | $1K |
| 96127 | <1% | 311 | 250 | $1K | |
| 80305 | <1% | 128 | 115 | $1K |
10 more codes
| 0001A | <1% | 28 | $680.00 | |
| 80306 | <1% | 74 | $559.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $423.38 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $236.16 |
| 90686 | <1% | 15 | $174.26 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $124.31 |
| 3074F | <1% | 12 | $25.00 | |
| 81003 | <1% | 15 | $13.05 | |
| 91300 | <1% | 131 | $0.81 | |
| 1111F | 0% | 57 | $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 officialVON ELTEN, SANDY (CREDENTIALING)