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    OpenPayerNPI Medicare & MedicaidHopkins Medical Association LLC
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    Hopkins Medical Association LLC — Billing Profile & Reimbursement Data

    NPI 1679111504 · Richlands, VA · Family Medicine Physician

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    Hopkins Medical Association LLC is a family medicine physician provider located in Richlands, Virginia. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHopkins Medical Association LLC
    Address460 Front St
    CityRichlands
    StateVA
    ZIP24641
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 10, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.1M
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G9012Other specified case management service not elsewhere classified16,960$200$3.3M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…41,680$80$3.2M
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…17,640$120$2.1M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…26,880$50$1.3M
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.24,060$50$1.1M
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…11,720$50$562.6K
    H0004Behavioral health counseling and therapy, per 15 minutes24,720$20$494.3K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3,770$90$335.1K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1,190$150$179.8K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.910$90$85.6K

    Showing 1–10 of 30

    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

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)5150274,670$10$2.8M
    G9012Other specified case management service not elsewhere classified151202,160$220$1.6M
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…14203,960$130$730.9K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2201,220$110$459.9K
    H0004Behavioral health counseling and therapy, per 15 minutes191003,280$40$455.8K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.151703,790$40$415.2K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…8201,790$70$347.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…503,520370$70$280.7K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,2791,340710$90$245K
    H2010Comprehensive medication services, per 15 minutes310280$100$212.1K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hopkins Medical Association LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason Della VecchiaTNAddiction Medicine (Internal Medicine) Physician$108.8K$623.2K
    Denny GossVAEmergency Medicine Physician$91.8K$0
    Ramona BoydVAFamily Nurse Practitioner$44.1K$0
    Natasha StanleyVAFamily Nurse Practitioner$41.8K$0
    Ginger CollinsVANurse Practitioner$32.7K$0
    Amy WestWVFamily Nurse Practitioner$27.8K$0
    Cynthia TaylorVANurse Practitioner$25.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Hopkins Medical Association LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinch Valley Medical Center Inc.VAGeneral Acute Care Hospital$0$26.2M
    Healing Waters Counseling CenterVAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.9M
    Clinch Valley Physicians Associates LLCVACardiovascular Disease Physician$0$8.8M
    Clinch Professional Physician Services LLCVASurgery Physician$0$5.7M
    Sherif ShoukryVAEmergency Medicine Physician$122.2K$301.7K
    Jamal SahyouniVAInternal Medicine Physician$145.3K$0
    Ravi TithaVAInternal Medicine Physician$77.1K$33.4K
    Zaven JabourianVAOtolaryngology Physician$28.7K$920
    Jill MatneyVAFamily Nurse Practitioner$8.3K$8.3K
    Kevin CarterVAAudiologist$7.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Hopkins Medical Association LLC — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia