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NPI 1750834362 · Richmond, VA · Family Medicine Physician
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Laura Munoz is a family medicine physician provider located in Richmond, Virginia. This profile covers 14 Medicare and 2 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 | Individual |
| Organization | Laura Munoz |
| Address | 1001 E Leigh St |
| City | Richmond |
| State | VA |
| ZIP | 23298 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 31, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $92K |
| Medicaid | $370 |
This provider’s billing footprint is almost entirely Medicare-driven: lifetime Medicare revenue is $92K compared with lifetime Medicaid revenue of $367, so the practice is effectively single-payer in scale with Medicare dominating revenues. Medicaid activity is negligible in dollar terms and does not materially diversify the payer mix.
Revenue concentration on Medicare is high: the precomputed top three Medicare codes account for 70.6% of this provider’s total Medicare revenue, with 99214, G0439, and 90677 the primary drivers. Those top codes combine standard E/M visits, annual wellness visits, and pneumococcal vaccination services, indicating the core business is primary care with an emphasis on preventive care and chronic disease follow-up.
Medicaid billing is highly concentrated and tiny in scale: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, and Medicaid revenue is almost entirely from 99214 (12 claims, $360 revenue). The Medicaid 99214 activity ranks #3457 of 3523 in-state (0th percentile; typical, unremarkable volume), signaling very limited Medicaid participation despite the same E/M service mix seen in Medicare.
Service-line mix supports a preventive-primary care operation: notable vaccine-related Medicare items include 90677 (26 claims, $7K), 90662 (88 claims, $6.3K), G0008 (98 claims, $3.5K), and G0009 (26 claims, $936), alongside G0439 AWV activity (86 claims, $11.7K). These codes show the practice delivers routine immunizations and annual wellness visits in addition to office-based chronic care and problem management.
Office E/M intensity skews toward mid-level visits: Medicare 99214 accounts for 490 claims and $46.1K (50.2% of this provider's total Medicare revenue), with lower-volume 99213 (87 claims, $6K) and 99212 (19 claims, $760) also present. This mix suggests the panel is managed primarily through established-patient visits at moderate complexity rather than predominately low-complexity or new-patient encounters.
Competitive standing is mixed by code: for Medicare 99214 the provider ranks #50551 of 479517 (89th percentile; typical, unremarkable volume) and for phlebotomy 36415 the provider ranks #8963 of 86467 (90th percentile; typical, unremarkable volume), indicating above-average claim volume on those specific services versus national peers while still characterized as typical. Conversely, several codes show low relative presence—99495 care-transition visits rank #14725 of 17150 (6th percentile; typical, unremarkable volume) and behavioral counseling G0447 ranks #2514 of 3197 (19th percentile; typical, unremarkable volume)—pointing to limited activity in post-discharge care management and obesity counseling.
Tenure is established but not long-standing: the NPI was enumerated on 2016-07-31 (~10 years ago), consistent with roughly a decade of Medicare billing history. Given the modest lifetime Medicare revenue of $92K and the concentrated code mix, the provider appears to operate a small-scale primary care practice with steady but limited billing volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 490 | $90 | $46.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | $140 | $11.7K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 30 | $270 | $7K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 90 | $70 | $6.3K |
| 99213 | The 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… | 90 | $70 | $6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 520 | $10 | $4.1K |
| G0008 | Administration of influenza virus vaccine | 100 | $40 | $3.5K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 10 | $170 | $2.1K |
| G0444 | Annual depression screening, 5 to 15 minutes | 80 | $20 | $1.6K |
| G0009 | Administration of pneumococcal vaccine | 30 | $40 | $940 |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 6 | 12,890 | 140 | $80 | $21K |
| G0439 | 1 | 2,960 | 80 | $120 | $14.7K |
| 99213 | 360 | 12,440 | 90 | $60 | $10K |
| 90677 | 13 | 1,850 | 20 | $280 | $8K |
| 90662 | 1 | 2,260 | 60 | $70 | $5.8K |
| 99495 | 1 | 600 | 20 | $140 | $3.6K |
| G0008 | 18 | 3,490 | 70 | $30 | $3.1K |
| 36415 | 16 | 2,620 | 120 | $10 | $3K |
| 83036 | 106 | 1,190 | 80 | $10 | $2.5K |
| 99212 | 131 | 2,830 | 30 | $40 | $2.3K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 10 | $30 | $360 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 10 | $0 | $0 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3,457 | 3,520 | 370 | $70 | $280.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 912 | 940 | 470 | $1 | $9.3K |
Other providers in the same ZIP code as Laura Munoz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Virginia Commonwealth University Health System Authority | VA | General Acute Care Hospital | $0 | $658.3M |
| Mcv Associated Physicians | VA | Anesthesiology Physician | $0 | $99M |
| Dentistry Vcu | VA | Dentist | $0 | $12.5M |
| Rekha Kishore | VA | Diagnostic Radiology Physician | $1.1M | $0 |
| Matthew Herczyk | VA | Diagnostic Radiology Physician | $750.5K | $47.4K |
| Paul Fang | VA | Diagnostic Radiology Physician | $688K | $0 |
| Tahir Khan | VA | Internal Medicine Physician | $480.4K | $8.9K |
| William Denney | VA | Internal Medicine Physician | $396.1K | $0 |
| Laurie Cuttino | VA | Radiation Oncology Physician | $350.4K | $0 |
| Michelle Garnett | VA | Diagnostic Radiology Physician | $305.4K | $0 |
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