Physician
Virginia Oncology Care,pc
Virginia Oncology Care,pc was paid $597K by Medicaid between Jan 2018 and Sep 2023, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoVIRGINIA ONCOLOGY CARE,PC
FREDERICKSBURG, VA 22405
FREDERICKSBURG, VA 22405
33aNPI1881121614assigned 05/11/2017
33bProvider typeGastroenterology Physician
28Total paid$597K
24GClaims35,050
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#4 of 40
Median peer was paid$68K
This provider vs. median8.8×
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 | 4,242 | $6K | |
| 2019 | 16,256 | $95K | |
| 2020 | 3,046 | $120K | |
| 2021 | 4,189 | $138K | |
| 2022 | 3,699 | $111K | |
| 2023 | 3,618 | $128K |
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 | 34% | 3,264 | 2,409 | $201K |
| 96367 | 20% | 2,504 | 1,395 | $117K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,545 | 1,833 | $90K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 14% | 1,328 | 845 | $85K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 3.9% | 633 | 329 | $24K |
| J3490 | Unclassified drugs | 3.4% | 1,786 | 911 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 189 | 147 | $16K |
| J0897 | Injection, denosumab, 1 mg | 2.4% | 13 | 12 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 1,476 | 902 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 347 | 116 | $9K |
| 96415 | <1% | 180 | 121 | $4K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,959 | 1,082 | $2K |
14 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $940.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 1,512 | $760.97 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 492 | $184.18 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 129 | $140.71 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 88 | $23.34 |
| 4004F | 0% | 1,959 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,407 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,934 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,959 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,958 | $0.00 |
| 1123F | 0% | 2,410 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,959 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,958 | $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 officialMEHTA, MANAN (PRESIDENT)