Point Clinic PLLC

Point Clinic PLLC was paid $140K by Medicaid between Jan 2018 and Jan 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoPOINT CLINIC PLLC
PT PLEASANT, WV 25550

33aNPI1003358961assigned 11/09/2016

33bProvider typeFamily Medicine Physician

28Total paid$140K

24GClaims4,023

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#106 of 202

Median peer was paid$172K

This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	979	$32K
2019	852	$25K
2020	1,125	$40K
2021	993	$40K
2022	74	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	86%	3,576	3,111	$120K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13%	339	314	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	108	88	$2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWAGNER, JAMES (SOLE MEMBER)