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    OpenPayerNPI Medicare & MedicaidVirginia Physicians, Inc.
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    Virginia Physicians, Inc. — Billing Profile & Reimbursement Data

    NPI 1932134913 · Glen Allen, VA · Clinical Medical Laboratory

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    Virginia Physicians, Inc. is a clinical medical laboratory provider located in Glen Allen, Virginia. This profile covers 58 Medicare and 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationVirginia Physicians, Inc.
    Address4900 Cox Rd
    CityGlen Allen
    StateVA
    ZIP23060
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$1.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.34,220$10$273.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.19,030$10$247.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.23,510$10$235.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…12,150$20$194.4K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…5,170$30$150K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…16,460$10$131.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…12,040$10$120.4K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…6,020$10$48.2K
    G0103Prostate cancer screening; prostate specific antigen test (psa)2,420$20$46K
    0241UN/A260$140$36K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003102070$70$61.5K
    U00051320150$20$16.9K
    86160410220$10$15.7K
    800534750210$10$8.1K
    800614630180$10$8.1K
    0240U41050$140$7.6K
    0241U18030$140$7.5K
    844434610110$20$7.3K
    82306445060$30$7.1K
    8749171070$30$6.7K

    Showing 1–10 of 58

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.820$1$820
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…260$1$260
    3044FThe A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…180$0$0
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,540$0$0
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…220$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.890$0$0
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…530$0$0
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…520$0$0
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…590$0$0

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1482305,240$1$93.2K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1371803,920$1$50.3K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…77140390$10$44.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…1131702,050$10$30.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2354101,030$1$26.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.113220830$10$24.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…160330430$1$13.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.260940470$1$9.3K
    3044FThe A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…156080$1$1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Virginia Physicians, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David CarletonVARheumatology Physician$4.3M$0
    Kara Foster-weissVAFamily Medicine Physician$2.2M$0
    Steven MaestrelloVARheumatology Physician$1.1M$0
    Minh TranVAInternal Medicine Physician$198.2K$0
    William MorrissetteVAFamily Medicine Physician$179.6K$0
    Stuart MotleyVAInternal Medicine Physician$156.3K$0
    Garrison BennettVAFamily Medicine Physician$153.8K$0
    Yauna WilliamsFLFamily Nurse Practitioner$152.5K$0
    John BarnesVAFamily Medicine Physician$137.7K$0
    Helen AdamsVAFamily Medicine Physician$136.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Virginia Physicians, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patient First Richmond Medical Group PLLCVAFamily Medicine Physician$0$75.4M
    Henrico Area Mental Heatlh And Developmental ServicesVAMental Health Clinic/Center (Including Community Mental Health Center)$0$64.7M
    Rca Laboratory Services, LLCVAClinical Medical Laboratory$5.3M$17.1M
    Virginia Center For Addiction MedicineVAAddiction Medicine (Internal Medicine) Physician$0$19.7M
    Patient First Maryland Medical Group, PLLCVAFamily Medicine Physician$0$19.5M
    Family Integrated Counseling ServicesVACommunity/Behavioral Health Agency$0$17.8M
    Patient First Pennsylvania Medical Group PLLCVAUrgent Care Clinic/Center$0$14.6M
    Patient First Richmond Physician's Group PCVAUrgent Care Clinic/Center$0$11.1M
    Renewing Stability LLCVACommunity/Behavioral Health Agency$0$8.4M
    Patient First Maryland Physician's Group PCVAFamily Medicine Physician$0$7M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Virginia Physicians, Inc. — 24 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Virginia Physicians, Inc. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia