Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Urology of Virginia, PLLC

Urology of Virginia, PLLC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoUROLOGY OF VIRGINIA, PLLC
VIRGINIA BEACH, VA 23462
33aNPI1982994117assigned 04/08/2011
33bProvider typeUrology Physician
28Total paid$1.22M
24GClaims67,268
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Virginia

Rank by total paid#2 of 28
Median peer was paid$8K
This provider vs. median148×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20184,694$29K
20199,866$111K
20206,469$87K
20219,379$166K
202211,655$243K
202314,631$313K
2024incomplete10,574$276K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 16,527 14,465 $810K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.3% 2,871 2,434 $89K
76770 6.7% 1,328 1,213 $83K
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 5.0% 769 698 $62K
81003 4.1% 33,016 29,127 $50K
51798 2.7% 5,416 4,783 $33K
99490 Ccm add 20min 1.6% 2,190 2,037 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.4% 397 323 $17K
97535 Self-care/home management training, each 15 minutes 1.2% 536 429 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 259 219 $14K
88112 <1% 444 343 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 352 246 $6K
12 more codes
99215 Doctor's office visit, returning patient (complex) <1% 88 $5K
81001 <1% 2,166 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 86 $3K
97161 <1% 24 $2K
52000 <1% 15 $2K
36415 Collection of venous blood by venipuncture <1% 643 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 14 $690.47
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $352.06
74420 <1% 13 $130.81
51702 <1% 21 $127.06
87086 Culture, bacterial; quantitative colony count, urine <1% 16 $109.52
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% 63 $46.07

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 officialMILES-THOMAS, JENNIFER (PRESIDENT)