Clinic
Clinch Valley Physicians Associates LLC
Clinch Valley Physicians Associates LLC was paid $620K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCLINCH VALLEY PHYSICIANS ASSOCIATES LLC
CEDAR BLUFF, VA 24609
CEDAR BLUFF, VA 24609
33aNPI1821339540assigned 03/05/2013
33bProvider typeRural Health Clinic/Center
28Total paid$620K
24GClaims18,028
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Virginia
Rank by total paid#12 of 66
Median peer was paid$195K
This provider vs. median3.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
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 | 4,589 | $142K | |
| 2019 | 3,091 | $93K | |
| 2020 | 1,326 | $60K | |
| 2021 | 1,059 | $53K | |
| 2022 | 958 | $50K | |
| 2023 | 1,457 | $75K | |
| 2024incomplete | 5,548 | $148K |
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 | 50% | 7,507 | 6,088 | $309K |
| 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 | 45% | 5,996 | 5,235 | $278K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 313 | 256 | $10K |
| 3074F | <1% | 312 | 301 | $6K | |
| 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% | 116 | 93 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 327 | 312 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 413 | 344 | $2K |
| 3078F | <1% | 115 | 113 | $2K | |
| 3079F | <1% | 108 | 108 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | 13 | $1K |
| 3008F | <1% | 2,196 | 1,961 | $640.00 | |
| 1160F | <1% | 285 | 252 | $550.00 |
11 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $437.10 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $388.08 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 14 | $74.70 |
| 80053 | Comprehensive metabolic panel | <1% | 27 | $11.74 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 27 | $8.63 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $1.84 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 19 | $0.59 |
| 1125F | 0% | 15 | $0.00 | |
| 1126F | 0% | 13 | $0.00 | |
| 1036F | 0% | 151 | $0.00 | |
| 3075F | 0% | 16 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.