Physician
Westmoreland, Danny
Westmoreland, Danny was paid $326K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoWESTMORELAND, DANNY
MASON, WV 25260
MASON, WV 25260
33aNPI1073654075assigned 02/11/2007
33bProvider typeFamily Medicine Physician
28Total paid$326K
24GClaims10,835
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#70 of 202
Median peer was paid$172K
This provider vs. median1.9×
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 | 1,930 | $64K | |
| 2019 | 1,788 | $61K | |
| 2020 | 1,524 | $49K | |
| 2021 | 1,813 | $39K | |
| 2022 | 1,329 | $41K | |
| 2023 | 1,398 | $38K | |
| 2024incomplete | 1,053 | $35K |
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 | 71% | 5,275 | 4,546 | $231K |
| 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 | 26% | 1,286 | 1,160 | $85K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 72 | 56 | $4K |
| 82962 | 1.0% | 1,358 | 1,167 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,039 | 961 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | 16 | $421.05 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 31 | 22 | $382.50 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,137 | 995 | $253.14 |
| 81002 | <1% | 18 | 17 | $43.18 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 19 | 15 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 84 | 67 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 109 | 89 | $0.00 |
15 more codes
| 1160F | 0% | 30 | $0.00 | |
| 3078F | 0% | 18 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 20 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 25 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 31 | $0.00 |
| 3048F | 0% | 21 | $0.00 | |
| 3008F | 0% | 31 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 80 | $0.00 |
| 3049F | 0% | 15 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 19 | $0.00 |
| 1034F | 0% | 19 | $0.00 | |
| 3011F | 0% | 36 | $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.