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

Marion Surgical Associates, INC

Marion Surgical Associates, INC was paid $141K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoMARION SURGICAL ASSOCIATES, INC
FAIRMONT, WV 26554
33aNPI1073645826assigned 03/09/2007
33bProvider typeSurgery Physician
28Total paid$141K
24GClaims2,958
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in West Virginia

Rank by total paid#5 of 21
Median peer was paid$28K
This provider vs. median5.1×

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$5.0K$10K2018201920202021202220232024
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
20181,026$57K
2019718$23K
2020427$28K
2021290$10K
2022192$8K
2023237$11K
2024incomplete68$4K
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 57% 1,842 1,627 $80K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 326 320 $41K
99223 Prolong inpt eval add15 m 3.5% 40 38 $5K
99222 Initial hospital care, per day, moderate complexity 3.5% 50 48 $5K
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 3.3% 62 59 $5K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.9% 31 25 $3K
93971 1.4% 115 114 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 13 12 $940.64
1036F 0% 202 183 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 277 251 $0.00

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 officialMCLELLAN, DAVID (PRESIDENT)