Physician
Winchester Neurological Consultants INC
Winchester Neurological Consultants INC was paid $283K by Medicaid between Jan 2018 and Aug 2020, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoWINCHESTER NEUROLOGICAL CONSULTANTS INC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1811926454assigned 07/03/2006
33bProvider typeNeurological Surgery Physician
28Total paid$283K
24GClaims5,335
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Neurological Surgery Physician providers in Virginia
Rank by total paid#1 of 9
Median peer was paid$11K
This provider vs. median27×
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 | 1,702 | $81K | |
| 2019 | 2,043 | $99K | |
| 2020 | 1,590 | $104K |
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 | 64% | 3,894 | 3,314 | $182K |
| 99205 | Prolong outpt/office vis | 7.9% | 227 | 208 | $22K |
| 95886 | 6.5% | 224 | 196 | $18K | |
| 95816 | 6.0% | 142 | 120 | $17K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 5.3% | 367 | 325 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 92 | 75 | $6K |
| 95720 | 1.7% | 39 | 12 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 102 | 56 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 91 | 81 | $3K |
| 95708 | 1.1% | 19 | 12 | $3K | |
| 95819 | <1% | 13 | 12 | $2K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 35 | 26 | $2K |
3 more codes
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 officialCAPONE, PATRICK (PRESIDENT)