Physician
Spectrum Medical INC
Spectrum Medical INC was paid $7.41M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoSPECTRUM MEDICAL INC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1861597072assigned 09/13/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$7.41M
24GClaims199,115
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Virginia
Rank by total paid#3 of 25
Median peer was paid$29K
This provider vs. median252×
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 | 12,889 | $269K | |
| 2019 | 27,506 | $903K | |
| 2020 | 26,042 | $1.03M | |
| 2021 | 32,683 | $1.24M | |
| 2022 | 35,860 | $1.29M | |
| 2023 | 35,362 | $1.39M | |
| 2024incomplete | 28,773 | $1.29M |
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 | 21% | 31,171 | 24,587 | $1.59M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 18% | 29,217 | 8,299 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 18,931 | 14,988 | $775K |
| 20611 | 9.0% | 19,562 | 8,280 | $667K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.2% | 9,140 | 7,157 | $604K |
| 76881 | 6.4% | 15,374 | 6,088 | $476K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 6,721 | 5,798 | $406K |
| 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 | 3.8% | 3,232 | 2,867 | $284K |
| 99205 | Prolong outpt/office vis | 2.2% | 1,647 | 1,324 | $163K |
| 73562 | 1.6% | 5,965 | 3,107 | $122K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.6% | 4,255 | 1,494 | $116K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.5% | 3,035 | 1,158 | $108K |
46 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 4,218 | $89K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.2% | 9,745 | $85K |
| 72100 | <1% | 3,175 | $67K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 8,970 | $56K |
| 20610 | <1% | 1,962 | $55K | |
| 97163 | <1% | 845 | $48K | |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 111 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,558 | $40K |
| 73030 | <1% | 2,056 | $34K | |
| 64483 | <1% | 211 | $29K | |
| 97161 | <1% | 415 | $29K | |
| 20552 | <1% | 1,444 | $25K | |
| 62323 | <1% | 138 | $22K | |
| 73522 | <1% | 689 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 316 | $12K |
| 72040 | <1% | 545 | $12K | |
| 73610 | <1% | 545 | $12K | |
| 73630 | <1% | 380 | $8K | |
| L0642 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 32 | $6K |
| 73110 | <1% | 244 | $6K | |
| 97162 | <1% | 75 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 656 | $4K |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 823 | $4K |
| 64484 | <1% | 60 | $4K | |
| 73521 | <1% | 148 | $4K | |
| 77080 | <1% | 145 | $4K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,842 | $3K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 6,031 | $2K |
| 73502 | <1% | 65 | $1K | |
| 73130 | <1% | 52 | $1K | |
| 72050 | <1% | 28 | $988.59 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 50 | $638.08 |
| 97010 | <1% | 1,045 | $556.55 | |
| 80053 | Comprehensive metabolic panel | <1% | 518 | $493.68 |
| 73620 | <1% | 29 | $453.47 | |
| 90686 | <1% | 45 | $379.75 | |
| 73140 | <1% | 18 | $373.56 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 493 | $360.27 |
| 85651 | <1% | 450 | $151.14 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $139.28 |
| 81002 | <1% | 442 | $115.12 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 26 | $107.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 139 | $99.28 |
| G0008 | Administration of influenza virus vaccine | <1% | 19 | $67.30 |
| 82962 | <1% | 18 | $27.97 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 20 | $0.62 |
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 officialHERMANN, MARK (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Spectrum Medical INC | Danville, VA | $295K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.