Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Arthritis and Rheumatology Clinical Center of Northern Virginia, PLLC

Arthritis and Rheumatology Clinical Center of Northern Virginia, PLLC was paid $279K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is J0717, Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 54% of everything it billed.

33Billing provider infoARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC
VIENNA, VA 22182
33aNPI1821495656assigned 11/21/2014
33bProvider typeRheumatology Physician
28Total paid$279K
24GClaims2,315
24DCodes billed5
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Rheumatology Physician providers in Virginia

Rank by total paid#3 of 22
Median peer was paid$15K
This provider vs. median18×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018166$4K
2019457$18K
2020174$9K
2021204$12K
2022389$149K
2023466$54K
2024incomplete459$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 54% 68 64 $150K
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 40% 2,053 1,803 $113K
96401 2.8% 70 64 $8K
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 2.7% 87 78 $8K
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% 37 25 $924.34

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 officialTEHRANI, MAHSA (PHYSICIAN)