Physician
Albemarle Physician Services - Sentara, INC
Albemarle Physician Services - Sentara, INC was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoALBEMARLE PHYSICIAN SERVICES - SENTARA, INC
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
33aNPI1851689558assigned 07/14/2011
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims76,760
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#191 of 433
Median peer was paid$942K
This provider vs. median1.4×
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 | 10,129 | $281K | |
| 2019 | 11,146 | $359K | |
| 2020 | 9,351 | $326K | |
| 2021 | 15,948 | $243K | |
| 2022 | 13,637 | $41K | |
| 2023 | 10,709 | $32K | |
| 2024incomplete | 5,840 | $16K |
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 | 34% | 8,090 | 7,045 | $446K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 3,628 | 2,544 | $246K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,073 | 1,824 | $168K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.7% | 4,184 | 3,508 | $100K |
| 99199 | Unlisted special service, procedure or report | 7.7% | 36,898 | 36,088 | $100K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.5% | 6,153 | 5,261 | $97K |
| 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 | 4.4% | 719 | 581 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 437 | 409 | $34K |
| 90474 | 1.1% | 829 | 683 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 676 | 476 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 253 | 234 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 320 | 277 | $4K |
26 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $3K |
| 96127 | <1% | 799 | $2K | |
| 83655 | <1% | 181 | $1K | |
| 90686 | <1% | 1,759 | $1K | |
| 99460 | <1% | 16 | $806.24 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $419.43 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 51 | $366.48 |
| 92551 | <1% | 541 | $241.18 | |
| 85018 | <1% | 625 | $216.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 29 | $124.32 |
| 36415 | Collection of venous blood by venipuncture | <1% | 78 | $119.04 |
| 90633 | <1% | 475 | $110.00 | |
| 90473 | <1% | 19 | $61.35 | |
| 99173 | <1% | 1,488 | $29.00 | |
| 90651 | <1% | 43 | $22.00 | |
| 90670 | 0% | 2,279 | $0.00 | |
| 90685 | 0% | 29 | $0.00 | |
| 90687 | 0% | 29 | $0.00 | |
| 90710 | 0% | 67 | $0.00 | |
| 90680 | 0% | 1,073 | $0.00 | |
| 90744 | 0% | 540 | $0.00 | |
| 99000 | 0% | 420 | $0.00 | |
| 90698 | 0% | 1,553 | $0.00 | |
| 90688 | 0% | 52 | $0.00 | |
| 36416 | 0% | 282 | $0.00 | |
| 94760 | 0% | 33 | $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 officialTAYLOR, CINDY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sentara Medical Group | Suffolk, VA | $1.70M |
| Sentara Medical Group | Hampton, VA | $412K |
| Sentara Medical Group | Williamsburg, VA | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.