Internal Medicine, Hematology & Oncology · Charlottesville, VA
NPI
1609899400
Since 2006
Specialty
Internal Medicine, Hematology & Oncology
Code 207RH0003X
Group practices
2
Medicare group memberships
Hospitals
5
Hospital affiliations
500 Martha Jefferson Dr
Charlottesville, VA, 22911
Phone (434) 654-8390
Groups this clinician bills Medicare through
Medicare paid, 2024
$164K
2,971 services
Medicare patients, 2024
584
Average age 76
Drug cost, 2024
$10.1M
2,967 prescriptions
Company payments, 2025
$153
From 2 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Jefferson M Prichard was code G2211 (visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's), 513 times for 184 patients. In total Jefferson M Prichard billed 2,971 services in 22 codes, and Medicare paid $164K.
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2024-01-05.
| Code | Setting | Services | Patients | Paid per service | Medicare paid |
|---|---|---|---|---|---|
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 513 | 184 | $13.05 | $6,696 |
| 36415 Venipuncture Blood Collection | Office | 423 | 189 | $8.57 | $3,624 |
| 99215 Office E&M - Established | Office | 353 | 97 | $137.72 | $49K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Facility | 341 | 132 | $12.40 | $4,229 |
| 99214 Office E&M - Established | Office | 323 | 169 | $93.35 | $30K |
| 99214 Office E&M - Established | Facility | 254 | 132 | $63.27 | $16K |
| 99215 Office E&M - Established | Facility | 231 | 65 | $100.87 | $23K |
| 99213 Office E&M - Established | Office | 191 | 158 | $62.37 | $12K |
| 99213 Office E&M - Established | Facility | 156 | 116 | $41.41 | $6,460 |
| 99232 Hospital E&M - Subsequent | Facility | 25 | 20 | $60.18 | $1,505 |
| 99223 Hospital E&M - Initial | Facility | 20 | 19 | $123.56 | $2,471 |
| 99222 Hospital E&M - Initial | Facility | 17 | 16 | $101.99 | $1,734 |
| 99231 Hospital E&M - Subsequent | Facility | 13 | 12 | $39.05 | $508 |
| 38222 Other Organ Systems | Office | 11 | 11 | $122.32 | $1,345 |
| 99205 Office E&M - New | Facility | 11 | 11 | $105.00 | $1,155 |
By year: 2022 $183K for 2,480 services; 2023 $167K for 2,308 services; 2024 $164K for 2,971 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 423 | 189 | $8.57 | $3,624 |
Medicare prescription drug claims, 2024
In 2024, the drug Jefferson M Prichard prescribed most often to Medicare patients was Acyclovir, with 245 prescriptions and refills. In total Jefferson M Prichard wrote 2,967 Medicare prescriptions that cost $10.1M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Acyclovir Generic | 245 | 357 | 51 | $3,791 |
| Eliquis Apixaban | 160 | 220 | 35 | $123K |
| Prednisone Generic | 113 | 117 | 30 | $550 |
| Pomalyst Pomalidomide | 107 | 107 | 21 | $2.3M |
| Hydroxyurea Generic | 99 | 235 | 26 | $2,399 |
| Oxycodone Hcl Generic | 92 | 92 | 33 | $532 |
| Letrozole Generic | 85 | 184 | 20 | $1,222 |
| Jakafi Ruxolitinib Phosphate | 75 | 75 | Under 11 | $1.1M |
| Dexamethasone Generic | 69 | 71 | 31 | $514 |
| Gabapentin Generic | 68 | 88 | 20 | $659 |
| Venclexta Venetoclax | 67 | 67 | 12 | $884K |
| Levothyroxine Sodium Generic | 65 | 125 | 16 | $430 |
| Anastrozole Generic | 57 | 145 | 16 | $799 |
| Potassium Chloride Generic | 56 | 89 | 15 | $1,264 |
| Lenalidomide Generic | 56 | 56 | 16 | $695K |
Brand drugs: - claims; generic drugs: 2,144 claims; opioid claims: 211.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Jefferson M Prichard $153 ($153 in general payments such as food, travel and fees) from 2 companies. The largest payer was Janssen Biotech, Inc. with $83.99.
| Company | Payments | Amount |
|---|---|---|
| Janssen Biotech, Inc. JNJ | 1 | $83.99 |
| Adc Therapeutics America, Inc. | 1 | $68.72 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.