Physician
Potomac Urology Center LLC
Potomac Urology Center LLC was paid $121K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoPOTOMAC UROLOGY CENTER LLC
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1861588592assigned 10/04/2006
33bProvider typeUrology Physician
28Total paid$121K
24GClaims7,510
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Virginia
Rank by total paid#7 of 28
Median peer was paid$8K
This provider vs. median15×
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 | 628 | $4K | |
| 2019 | 857 | $7K | |
| 2020 | 232 | $3K | |
| 2021 | 321 | $3K | |
| 2022 | 1,457 | $14K | |
| 2023 | 2,178 | $43K | |
| 2024incomplete | 1,837 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 69% | 2,391 | 2,109 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,679 | 1,329 | $34K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 159 | 142 | $795.08 |
| 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% | 19 | 14 | $659.60 |
| 81002 | <1% | 524 | 398 | $507.97 | |
| 2010F | <1% | 987 | 880 | $500.00 | |
| 51798 | <1% | 89 | 81 | $294.46 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $256.67 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 108 | 98 | $3.60 |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 14 | 12 | $1.50 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 163 | 146 | $0.30 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 482 | 427 | $0.00 |
6 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 69 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 316 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 53 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 347 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 85 | $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 officialLOWERY, KRISTINA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Thibodaux, LA | $451K |
| Texas Digestive Disease Consultants PLLC | Springdale, AR | $39K |
| Texas Digestive Disease Consultants PLLC | Covington, LA | $930.32 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.