Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

David J. Patton, MD., INC.

David J. Patton, MD., INC. was paid $10.41M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoDAVID J. PATTON, MD., INC.
CHARLESTON, WV 25314
33aNPI1063659134assigned 01/12/2009
28Total paid$10.41M
24GClaims150,497
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in West Virginia

Rank by total paid#3 of 40
Median peer was paid$84K
This provider vs. median124×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20184,472$383K
20196,567$515K
202021,302$1.60M
202126,033$1.77M
202232,564$2.12M
202330,834$2.05M
2024incomplete28,725$1.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 47,404 25,952 $3.43M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 13% 2,005 1,764 $1.31M
76818 9.9% 15,398 4,634 $1.03M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7.0% 11,575 9,706 $728K
76820 5.7% 19,894 5,876 $590K
59514 4.4% 698 553 $462K
59430 4.4% 1,978 1,854 $455K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.6% 6,709 4,598 $372K
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 2.6% 3,694 3,407 $273K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.5% 3,290 2,981 $262K
76830 Ultrasound, transvaginal 2.4% 3,383 3,155 $246K
76819 Fetal biophysical profile; without non-stress testing 2.3% 4,317 2,025 $236K
24 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 2,501 $196K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.3% 2,861 $136K
76801 1.2% 1,953 $122K
54150 1.1% 1,665 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,225 $102K
58558 <1% 154 $93K
81025 <1% 5,152 $39K
90715 <1% 1,669 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 735 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 318 $26K
99215 Doctor's office visit, returning patient (complex) <1% 253 $25K
77067 Screening mammography, bilateral, including computer-aided detection <1% 306 $18K
99203 Doctor's office visit, new patient (routine) <1% 242 $17K
99204 Doctor's office visit, new patient (more involved) <1% 140 $14K
81002 <1% 3,984 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,349 $11K
77063 Screening digital breast tomosynthesis, bilateral <1% 304 $4K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 68 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,733 $4K
58300 <1% 68 $4K
96127 <1% 1,212 $3K
99385 <1% 36 $3K
80305 <1% 94 $1K
99459 <1% 130 $19.32

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 officialPATTON, DAVID (OWNER)