KRISTA PINE, M.D.

NPI 1215030549, individual, Williamsburg, VA, Psychiatry & Neurology, Psychiatry

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since April 21, 2015.
Medicaid still paid claims in 17 later months, $48,192 in total.

score 95 of 100, rank 192, $48K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Apr 21, 2015	still open	17	Jan 2018	Jul 2020	$48K	$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	KRISTA PINE, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	September 5, 2006, last updated February 3, 2012
Practice location	5477 MOORETOWN RD, Williamsburg, VA 23188-2108, 757-565-0106
Mailing address	139 W LAYDON WAY, Poquoson, VA 23662-2160
Specialties	Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 0101244458 VA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$11K	23%	$74	$60 (top 5% from $133)	65th percentile
G9012	Medicaid service code	$10K	20%	$226	$232 (top 5% from $425)	too few months to rank
H0004	Behavioral health counseling and therapy per 15 minhistory of abuse	$8K	16%	$66	$174 (top 5% from $559)	too few months to rank
90792	Psychiatric diagnostic evaluation with medical services	$7K	15%	$125	$112 (top 5% from $313)	too few months to rank
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	$6K	12%	$52	$37 (top 5% from $103)	70th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$4K	9%	$62	$44 (top 5% from $110)	too few months to rank
80305	Testing for presence of drug, read by direct observation	$2K	4%	$20	$9.23 (top 5% from $22)	too few months to rank
T1012	Medicaid service code	$462	1%	$10	$126 (top 5% from $602)	too few months to rank

In this area

152 providers in VA carry an indicator in the public record, with $101.7M at stake between them. The most common is part of a provider network, on 67 of them, followed by more hours than a day holds on 47. 21 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	MOHAMMAD HOQUE Arlington, VA, ranked 9	$241K	Listed on the Medicare revocation list since January 21, 2021. Medicaid still paid claims in 15 later months, $241,391 in total. and 1 more
1	SWIFT MEDICAL TRANSPORT LLC Virginia Beach, VA, ranked 14	$140K	Listed on the Medicare revocation list since May 13, 2019. Medicaid still paid claims in 4 later months, $140,338 in total. and 1 more
1	ADVANCED SPINE AND PAIN CENTERS, PLLC Stafford, VA, ranked 58	$1.3M	Listed on the Medicare revocation list since November 19, 2021. Medicaid still paid claims in 23 later months, $1,327,755 in total.
1	SYNERGY HEALTH SYSTEMS Chesapeake, VA, ranked 80	$510K	Listed on a Department of Justice release since August 26, 2024. Medicaid still paid claims in 4 later months, $510,040 in total. and 1 more
1	SALMAN AKBAR Richmond, VA, ranked 81	$484K	Listed on the Medicare revocation list since July 13, 2022. Medicaid still paid claims in 27 later months, $484,231 in total.
1	RICHARD HILL Chesapeake, VA, ranked 88	$407K	Listed on the Medicare revocation list since December 30, 2022. Medicaid still paid claims in 24 later months, $407,424 in total.
1	THOMAS RALEY Stafford, VA, ranked 104	$253K	Listed on the Medicare revocation list since November 19, 2021. Medicaid still paid claims in 9 later months, $252,808 in total.
1	WASHINGTON GASTROENTEROLOGY PC Arlington, VA, ranked 110	$228K	Listed on the Medicare revocation list since January 21, 2021. Medicaid still paid claims in 15 later months, $227,556 in total.

All 152 in VA

Recent enforcement in VA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026

U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown

Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.

DOJSentencedJun 5, 2026

Medicaid service providers sentenced for false statements resulting in overbilling

Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.

DOJCivil settlementApr 27, 2026

Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations

Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.

DOJSentencedMar 17, 2026

Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period

Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.

DOJIndictedMar 11, 2026

Victim Advisory- Divine Youth Case Updates

Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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