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    OpenPayerNPI Medicare & MedicaidPatient First Maryland Medical Group, PLLC
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    Patient First Maryland Medical Group, PLLC — Billing Profile & Reimbursement Data

    NPI 1962423632 · Glen Allen, VA · Family Medicine Physician

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    Patient First Maryland Medical Group, PLLC is a family medicine physician provider located in Glen Allen, Virginia. This profile covers 0 Medicare and 91 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
    OrganizationPatient First Maryland Medical Group, PLLC
    Address5000 Cox Rd
    CityGlen Allen
    StateVA
    ZIP23060
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$19.5M
    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.

    91 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9083Global fee urgent care centers152,530$90$13.3M
    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…93,680$30$2.6M
    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…67,390$30$1.8M
    S9088Services provided in an urgent care center (list in addition to code for service)21,250$30$658.7K
    99203The provider sees a new 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 provider…22,640$10$181.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…13,980$10$139.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…17,250$10$120.7K
    99204The provider sees a new 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 provider…3,020$40$111.6K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…7,810$10$101.5K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.36,180$1$72.4K

    Showing 1–10 of 91

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    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

    91 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9083Global fee urgent care centers120150$100$1.5M
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.1071102,780$110$471.1K
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.75902,670$130$444.4K
    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…243,520370$70$280.7K
    S9088Services provided in an urgent care center (list in addition to code for service)320850$10$270.1K
    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…294,010290$50$199.8K
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…83210390$50$106.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…128610150$90$104K
    99204The provider sees a new 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 provider…53970100$100$87.1K
    99203The provider sees a new 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 provider…101,000100$70$81.1K

    Showing 1–10 of 91

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Patient First Maryland Medical Group, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$18.8M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$11M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$9.7M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$8.7M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$8.3M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$7.9M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$7.6M
    Patient First Maryland Physician's Group PCVAFamily Medicine Physician$0$7M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.8M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.7M

    Nearby Providers

    Other providers in the same ZIP code as Patient First Maryland Medical Group, PLLC, 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
    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
    Tidewater Physical Therapy, LLCVAPhysical Therapist$0$6.4M
    Virginia Physicians, Inc.VAClinical Medical Laboratory$1.9M$1.9K

    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
    2 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Patient First Maryland Medical Group, PLLC — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia