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

⚖️ Compare🖨️ Print Report

CENTRA MEDICAL GROUP, LLC

Family Medicine·LYNCHBURG, VA·NPI: 1649228966Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.2M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$60.2M

$60,157,424

Total Claims

1.3M

Beneficiaries

1.1M

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+170%
2019
$9.6M
-23%
2020
$7.4M
+19%
2021
$8.8M
+4%
2022
$9.2M
+26%
2023
$11.5M
-12%
2024
$10.1M

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 21% of total spending.

99214Normal range

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

$12.3M

223K claims · 20.5%

Your Cost: $55.31/claim|Median: $53.41
1.0× median
99284Normal range

Emergency dept visit, high complexity

$9.7M

166K claims · 16.2%

Your Cost: $58.44/claim|Median: $69.51
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$7.9M

97K claims · 13.2%

Your Cost: $81.57/claim|Median: $85.65
1.0× median
99213Normal range

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

$6.2M

129K claims · 10.3%

Your Cost: $47.97/claim|Median: $37.81
1.3× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$4.7M

40K claims · 7.9%

Your Cost: $117.84/claim|Median: $227.82
0.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.1M

116K claims · 5.1%

Your Cost: $26.53/claim|Median: $23.99
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

9,903 claims · 2.3%

Your Cost: $139.64/claim|Median: $108.91
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

39K claims · 2.2%

Your Cost: $34.31/claim|Median: $42.48
0.8× median
99203Normal range

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

$1.2M

22K claims · 2.1%

Your Cost: $57.65/claim|Median: $57.85
1.0× median
99204Normal range

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

$877K

10K claims · 1.5%

Your Cost: $84.48/claim|Median: $84.03
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$714K

19K claims · 1.2%

Your Cost: $37.87/claim|Median: $54.68
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$650K

13K claims · 1.1%

Your Cost: $51.01/claim|Median: $43.85
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$646K

12K claims · 1.1%

Your Cost: $53.38/claim|Median: $51.25
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$608K

8,196 claims · 1.0%

Your Cost: $74.19/claim|Median: $74.09
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$553K

8,914 claims · 0.9%

Your Cost: $62.04/claim|Median: $67.32
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$512K

16K claims · 0.9%

Your Cost: $32.19/claim|Median: $35.30
0.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$505K

4,663 claims · 0.8%

Your Cost: $108.40/claim|Median: $167.38
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$486K

42K claims · 0.8%

Your Cost: $11.69/claim|Median: $11.48
1.0× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$472K

2,728 claims · 0.8%

Your Cost: $172.91/claim|Median: $283.78
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$412K

4,767 claims · 0.7%

Your Cost: $86.39/claim|Median: $101.24
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$341K

5,727 claims · 0.6%

Your Cost: $59.48/claim|Median: $63.65
0.9× median
G9012Normal range

Other specified case management service, per 15 minutes

$337K

1,606 claims · 0.6%

Your Cost: $209.93/claim|Median: $137.85
1.5× median
87804Normal range

Influenza virus detection, rapid test

$232K

20K claims · 0.4%

Your Cost: $11.67/claim|Median: $12.59
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$218K

2,246 claims · 0.4%

Your Cost: $96.98/claim|Median: $99.21
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$217K

4,093 claims · 0.4%

Your Cost: $53.09/claim|Median: $62.48
0.8× median
90839Normal range

Psychotherapy for crisis, first 60 min

$179K

1,627 claims · 0.3%

Your Cost: $110.19/claim|Median: $83.98
1.3× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$169K

6,704 claims · 0.3%

Your Cost: $25.17/claim|Median: $16.77
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$164K

2,901 claims · 0.3%

Your Cost: $56.69/claim|Median: $65.76
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$163K

4,067 claims · 0.3%

Your Cost: $40.19/claim|Median: $37.22
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$137K

280 claims · 0.2%

Your Cost: $489.73/claim|Median: $470.36
1.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$124K

858 claims · 0.2%

Your Cost: $144.95/claim|Median: $146.45
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$123K

3,496 claims · 0.2%

Your Cost: $35.19/claim|Median: $74.63
0.5× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$119K

3,231 claims · 0.2%

Your Cost: $36.73/claim|Median: $24.33
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$118K

4,443 claims · 0.2%

Your Cost: $26.47/claim|Median: $25.06
1.1× median
71046Normal range

Chest X-ray, 2 views

$108K

12K claims · 0.2%

Your Cost: $9.26/claim|Median: $8.92
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$107K

1,533 claims · 0.2%

Your Cost: $70.01/claim|Median: $75.18
0.9× median
93303Normal range

Echocardiography, transthoracic, limited

$103K

1,701 claims · 0.2%

Your Cost: $60.33/claim|Median: $112.83
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$92K

1,152 claims · 0.2%

Your Cost: $80.07/claim|Median: $85.66
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$92K

7,789 claims · 0.2%

Your Cost: $11.81/claim|Median: $14.00
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$90K

1,510 claims · 0.2%

Your Cost: $59.87/claim|Median: $69.35
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$88K

1,282 claims · 0.1%

Your Cost: $68.31/claim|Median: $58.55
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$71K

49K claims · 0.1%

Your Cost: $1.46/claim|Median: $1.57
0.9× median
80305Top 25%

$69K

6,466 claims · 0.1%

Your Cost: $10.66/claim|Median: $7.44
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$64K

19K claims · 0.1%

Your Cost: $3.46/claim|Median: $5.60
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$62K

437 claims · 0.1%

Your Cost: $141.23/claim|Median: $255.17
0.6× median
77066Normal range

$59K

1,856 claims · 0.1%

Your Cost: $31.70/claim|Median: $43.94
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$57K

775 claims · 0.1%

Your Cost: $73.87/claim|Median: $74.82
1.0× median
93298Normal range

$57K

4,580 claims · 0.1%

Your Cost: $12.46/claim|Median: $14.28
0.9× median
70450Normal range

CT head/brain without contrast

$55K

2,425 claims · 0.1%

Your Cost: $22.81/claim|Median: $45.53
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$55K

1,611 claims · 0.1%

Your Cost: $34.24/claim|Median: $40.11
0.9× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Family Medicine

Dap Health, Inc.

El Cajon, CA

$270.2M

Adelante Healthcare, Inc.

Phoenix, AZ

$245.9M

Fast Pace Medical Clinic PLLC

Spring Hill, TN

$179.4M

← All providersAll providers in Virginia →How we detect fraud →