NP / PA
Rockbridge Medical Group, INC
Rockbridge Medical Group, INC was paid $11K by Medicaid between Jan 2019 and Jul 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoROCKBRIDGE MEDICAL GROUP, INC
LEXINGTON, VA 24450
LEXINGTON, VA 24450
33aNPI1992889356assigned 10/24/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$11K
24GClaims605
24DCodes billed6
24AFirst – last monthJan 2019 – Jul 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Virginia
Rank by total paid#79 of 235
Median peer was paid$5K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 137 | $445.77 | |
| 2020 | 90 | $2K | |
| 2021 | 92 | $2K | |
| 2022 | 80 | $2K | |
| 2023 | 140 | $3K | |
| 2024incomplete | 66 | $1K |
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 | 100% | 495 | 345 | $11K |
| 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% | 18 | 15 | $16.91 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 25 | 14 | $0.00 |
| 4040F | 0% | 22 | 13 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 19 | 12 | $0.00 |
| 1036F | 0% | 26 | 15 | $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 officialBURNETT-DAVIS, ASHLEY (INSURANCE)