Stafford Hospital, LLC — Billing Profile & Reimbursement Data
NPI 1043343304 · Stafford, VA · General Acute Care Hospital
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Stafford Hospital, LLC is a general acute care hospital provider located in Stafford, Virginia. This profile covers 0 Medicare and 202 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Stafford Hospital, LLC |
| Address | 101 Hospital Center Blvd |
| City | Stafford |
| State | VA |
| ZIP | 22554 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | March 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $25.2M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
202 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 27,790 | $190 | $5.4M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 17,710 | $180 | $3.1M |
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 12,970 | $230 | $3M |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 10,170 | $170 | $1.7M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 7,300 | $230 | $1.7M |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 870 | $1,900 | $1.6M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 4,970 | $230 | $1.2M |
| G0378 | Hospital observation service, per hour | 4,040 | $250 | $992.9K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 4,500 | $220 | $972.6K |
| 96360 | The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration. | 4,120 | $140 | $564.4K |
Showing 1–10 of 202
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
202 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 29 | 90 | 9,030 | $280 | $3.2M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 51 | 70 | 3,200 | $110 | $2.8M |
| 97150 | In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients. | 105 | 200 | 2,840 | $320 | $2.4M |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 13 | 30 | 600 | $1,370 | $1.7M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 98 | 340 | 160 | $130 | $1.3M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 82 | 630 | 90 | $140 | $1.1M |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 33 | 140 | 3,240 | $160 | $1M |
| G0378 | Hospital observation service, per hour | 39 | 80 | 3,650 | $160 | $1M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 60 | 620 | 70 | $120 | $1M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 64 | 180 | 2,950 | $140 | $783.2K |
Showing 1–10 of 202
Nearby Providers
Other providers in the same ZIP code as Stafford Hospital, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Unlimited Care 4 Corporation | VA | Personal Care Attendant | $0 | $16.9M |
| Hole In One, Inc. | VA | Home Health Agency | $0 | $16.7M |
| Global Healthcare Agency, LLC | VA | Home Health Agency | $0 | $11.9M |
| Primary And Urgent Care LLC | VA | Specialist | $0 | $9.2M |
| Fleming Therapy Services, LLC | VA | Speech-Language Pathologist | $0 | $8.5M |
| Bio-medical Applications Of Virginia, Inc. | VA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $5.6M |
| Stafford County Board Of Supervisors | VA | Ambulance | $1M | $1.3M |
| Petros Ayele | VA | Internal Medicine Physician | $556.2K | $190 |
| Brian Lee | VA | Interventional Pain Medicine Physician | $409.7K | $43.6K |
| Kemi Pollock | VA | Speech-Language Pathologist | $133K | $247.6K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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