Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMERSVILLE PEDIATRICS INC.

NPI: 1134197882 · SUMMERSVILLE, WV 26651 · Specialist · NPI assigned 03/09/2006

$12.00M
Total Medicaid Paid
333,182
Total Claims
281,585
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCLUNG, JOYCE (OFFICE MANAGER)
NPI Enumeration Date03/09/2006

Related Entities

Other providers sharing the same authorized official: MCCLUNG, JOYCE

ProviderCityStateTotal Paid
SUMMERSVILLE PEDIATRICS, INC. WEBSTER SPRINGS WV $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,181 $2.32M
2019 31,675 $1.29M
2020 41,047 $1.23M
2021 49,266 $1.67M
2022 58,681 $1.93M
2023 52,908 $1.80M
2024 47,424 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 105,539 79,630 $10.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,509 42,998 $422K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,251 14,478 $144K
99051 16,909 14,998 $114K
92551 15,678 15,012 $102K
90686 5,713 5,480 $82K
87430 7,183 6,573 $63K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,542 7,196 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,827 7,527 $55K
87070 6,081 5,590 $52K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,147 5,675 $50K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,131 3,929 $41K
90670 4,271 4,048 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,250 6,642 $32K
90723 3,456 3,276 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,522 2,260 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,946 4,775 $30K
96160 6,484 6,219 $28K
90647 3,480 3,301 $28K
81003 3,219 2,848 $27K
96127 6,446 6,145 $25K
99401 934 868 $24K
90633 2,720 2,560 $22K
90681 2,086 1,972 $18K
85018 2,567 2,437 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,094 1,018 $16K
36416 2,564 2,427 $16K
90734 2,097 1,989 $12K
90651 1,951 1,873 $11K
95117 1,527 491 $10K
90710 1,097 1,036 $9K
99381 1,105 1,004 $9K
90700 789 748 $8K
87807 1,755 1,606 $7K
90620 1,039 972 $6K
90715 1,019 972 $6K
90696 900 849 $6K
90672 439 421 $6K
90716 758 720 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 216 194 $5K
90707 737 699 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 623 522 $2K
90685 62 46 $2K
90473 97 93 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 323 291 $2K
81025 122 118 $571.36
99383 26 26 $562.75
90472 Immunization administration, each additional vaccine (list separately) 189 173 $362.66
88720 331 190 $337.65
81002 85 64 $114.24
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,565 6,019 $73.42
99384 12 12 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 458 273 $0.00
90671 280 272 $0.00
90380 13 13 $0.00
0071A 18 17 $0.00