Physician
James River Ob Gyn P C
James River Ob Gyn P C was paid $325K by Medicaid between Jan 2018 and Feb 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoJAMES RIVER OB GYN P C
RICHMOND, VA 23225
RICHMOND, VA 23225
33aNPI1952358152assigned 05/31/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$325K
24GClaims9,244
24DCodes billed19
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#36 of 243
Median peer was paid$8K
This provider vs. median40×
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 | 1,152 | $21K | |
| 2019 | 1,984 | $66K | |
| 2020 | 2,554 | $101K | |
| 2021 | 3,374 | $129K | |
| 2022 | 180 | $8K |
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 | 33% | 2,385 | 2,060 | $108K |
| 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 | 30% | 1,404 | 1,252 | $96K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 22% | 2,323 | 1,573 | $72K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.8% | 280 | 260 | $19K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.0% | 122 | 113 | $10K |
| 87210 | 2.0% | 1,593 | 1,414 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 30 | 30 | $3K |
| 99218 | <1% | 40 | 37 | $3K | |
| 81025 | <1% | 284 | 250 | $2K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | 12 | $2K |
| 54150 | <1% | 38 | 27 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 95 | 88 | $1K |
7 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 13 | $849.85 |
| 59025 | Fetal non-stress test | <1% | 17 | $468.48 |
| 81002 | <1% | 193 | $462.27 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 90 | $0.00 |
| 1036F | 0% | 112 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 125 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 88 | $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 officialHOLMES, ELIZABETH (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Bywater Medical Consultants PLLC | Mount Vernon, WA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.