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.
VIENNA, VA 22182
Next to other Rheumatology Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 166 | $4K | |
| 2019 | 457 | $18K | |
| 2020 | 174 | $9K | |
| 2021 | 204 | $12K | |
| 2022 | 389 | $149K | |
| 2023 | 466 | $54K | |
| 2024incomplete | 459 | $33K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.