Carl Stephen High MD

Carl Stephen High MD was paid $259K by Medicaid between Jan 2018 and Jan 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.

33Billing provider infoCARL STEPHEN HIGH MD
ELKINS, WV 26241

33aNPI1114107133assigned 11/07/2007

33bProvider typeFamily Medicine Physician

28Total paid$259K

24GClaims5,300

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#76 of 202

Median peer was paid$172K

This provider vs. median1.5×

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	869	$49K
2019	764	$34K
2020	1,171	$49K
2021	898	$47K
2022	797	$41K
2023	738	$36K
2024incomplete	63	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	61%	3,690	3,029	$158K
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	38%	1,564	1,426	$99K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	46	38	$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 officialBODKIN, APRIL (OFFICE MANAGER)