Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

ORTHOVIRGINIA, INC.

Clinic/Center, Multi-Specialty·NORTH CHESTERFIELD, VA·NPI: 1265470645Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.8M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$23.8M

$23,772,011

Total Claims

526K

Beneficiaries

388K

1.4 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$637K
+231%
2019
$2.1M
+31%
2020
$2.8M
+32%
2021
$3.6M
+20%
2022
$4.4M
+19%
2023
$5.2M
-3%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$5.3M

76K claims · 22.1%

Your Cost: $69.73/claim|Median: $53.41
1.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$4.2M

87K claims · 17.6%

Your Cost: $48.34/claim|Median: $37.81
1.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$3.2M

32K claims · 13.4%

Your Cost: $98.43/claim|Median: $84.03
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.9M

28K claims · 8.1%

Your Cost: $68.53/claim|Median: $57.85
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$1.8M

69K claims · 7.5%

Your Cost: $26.04/claim|Median: $24.49
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$1.5M

38K claims · 6.3%

Your Cost: $38.81/claim|Median: $33.11
1.2× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$883K

28K claims · 3.7%

Your Cost: $31.81/claim|Median: $20.04
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$547K

37K claims · 2.3%

Your Cost: $14.93/claim|Median: $16.79
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$502K

8,190 claims · 2.1%

Your Cost: $61.28/claim|Median: $47.89
1.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$382K

9,775 claims · 1.6%

Your Cost: $39.11/claim|Median: $29.03
1.3× median
95886Normal range

$338K

3,384 claims · 1.4%

Your Cost: $99.88/claim|Median: $67.70
1.5× median
64483Normal range

$293K

1,936 claims · 1.2%

Your Cost: $151.50/claim|Median: $124.24
1.2× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$283K

12K claims · 1.2%

Your Cost: $22.73/claim|Median: $12.06
1.9× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$207K

7,958 claims · 0.9%

Your Cost: $25.97/claim|Median: $13.55
1.9× median
97162Normal range

PT evaluation, moderate complexity

$182K

3,272 claims · 0.8%

Your Cost: $55.71/claim|Median: $46.10
1.2× median
L3808Top 10%

$180K

636 claims · 0.8%

Your Cost: $283.52/claim|Median: $184.78
1.5× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$173K

5,819 claims · 0.7%

Your Cost: $29.80/claim|Median: $12.64
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$173K

5,482 claims · 0.7%

Your Cost: $31.57/claim|Median: $25.06
1.3× median
72110Normal range

$162K

4,650 claims · 0.7%

Your Cost: $34.75/claim|Median: $21.02
1.7× median
73564Top 25%

$139K

4,383 claims · 0.6%

Your Cost: $31.77/claim|Median: $15.00
2.1× median
73562Top 25%

$136K

5,106 claims · 0.6%

Your Cost: $26.60/claim|Median: $12.28
2.2× median
97165Normal range

OT evaluation, low complexity

$127K

1,947 claims · 0.5%

Your Cost: $65.27/claim|Median: $46.78
1.4× median
L4361Top 25%

$119K

515 claims · 0.5%

Your Cost: $230.35/claim|Median: $161.24
1.4× median
72100Top 25%

$98K

3,565 claims · 0.4%

Your Cost: $27.36/claim|Median: $15.14
1.8× median
95911Normal range

$93K

616 claims · 0.4%

Your Cost: $150.92/claim|Median: $122.86
1.2× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$80K

1,303 claims · 0.3%

Your Cost: $61.37/claim|Median: $36.13
1.7× median
73030Top 25%

$80K

3,638 claims · 0.3%

Your Cost: $21.87/claim|Median: $10.94
2.0× median
73130Top 25%

$79K

2,907 claims · 0.3%

Your Cost: $27.07/claim|Median: $10.69
2.5× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$61K

11K claims · 0.3%

Your Cost: $5.40/claim|Median: $2.91
1.9× median
11721Top 25%

$56K

3,336 claims · 0.2%

Your Cost: $16.86/claim|Median: $8.56
2.0× median
A4590Normal range

$45K

1,821 claims · 0.2%

Your Cost: $24.55/claim|Median: $18.45
1.3× median
J0702Top 25%

$37K

2,475 claims · 0.2%

Your Cost: $15.00/claim|Median: $7.64
2.0× median
L3906Top 25%

$37K

119 claims · 0.2%

Your Cost: $309.85/claim|Median: $235.57
1.3× median
72040Top 25%

$33K

1,240 claims · 0.1%

Your Cost: $26.85/claim|Median: $16.49
1.6× median
11750Normal range

$31K

331 claims · 0.1%

Your Cost: $94.50/claim|Median: $82.40
1.1× median
J1030Top 25%

Injection, methylprednisolone acetate, forty milligrams

$26K

3,984 claims · 0.1%

Your Cost: $6.60/claim|Median: $4.38
1.5× median
64484Normal range

$23K

341 claims · 0.1%

Your Cost: $66.87/claim|Median: $47.83
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$23K

231 claims · 0.1%

Your Cost: $98.70/claim|Median: $74.09
1.3× median
95910Normal range

$21K

174 claims · 0.1%

Your Cost: $122.97/claim|Median: $97.13
1.3× median
73140Top 25%

$21K

721 claims · 0.1%

Your Cost: $28.65/claim|Median: $11.18
2.6× median
L3913Top 10%

$19K

83 claims · 0.1%

Your Cost: $224.62/claim|Median: $138.71
1.6× median
73080Top 25%

$18K

706 claims · 0.1%

Your Cost: $25.53/claim|Median: $10.78
2.4× median
L3933Top 1%

$15K

97 claims · 0.1%

Your Cost: $157.81/claim|Median: $84.90
1.9× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$15K

244 claims · 0.1%

Your Cost: $61.45/claim|Median: $42.51
1.4× median
73560Normal range

$15K

794 claims · 0.1%

Your Cost: $18.88/claim|Median: $10.28
1.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$13K

275 claims · 0.1%

Your Cost: $46.48/claim|Median: $40.11
1.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$13K

987 claims · 0.1%

Your Cost: $12.94/claim|Median: $18.18
0.7× median
29075Normal range

$12K

174 claims · 0.1%

Your Cost: $70.32/claim|Median: $64.43
1.1× median
73100Top 25%

$12K

460 claims · 0.1%

Your Cost: $26.00/claim|Median: $13.37
1.9× median
97163Normal range

PT evaluation, high complexity

$11K

206 claims · 0.0%

Your Cost: $54.36/claim|Median: $50.34
1.1× median