Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLINCH VALLEY PHYSICIANS ASSOCIATES LLC

NPI: 1821339540 · CEDAR BLUFF, VA 24609 · Rural Health Clinic/Center · NPI assigned 03/05/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$620K
Total Medicaid Paid
18,028
Total Claims
15,347
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date03/05/2013

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,589 $142K
2019 3,091 $93K
2020 1,326 $60K
2021 1,059 $53K
2022 958 $50K
2023 1,457 $75K
2024 5,548 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,507 6,088 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,996 5,235 $278K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 313 256 $10K
3074F 312 301 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 116 93 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 327 312 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 413 344 $2K
3078F 115 113 $2K
3079F 108 108 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 13 $1K
3008F 2,196 1,961 $640.00
1160F 285 252 $550.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $437.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 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 14 14 $74.70
80053 Comprehensive metabolic panel 27 12 $11.74
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27 13 $8.63
J1885 Injection, ketorolac tromethamine, per 15 mg 17 13 $1.84
J0696 Injection, ceftriaxone sodium, per 250 mg 19 13 $0.59
1125F 15 15 $0.00
1126F 13 13 $0.00
1036F 151 136 $0.00
3075F 16 16 $0.00