Manchin, John

Manchin, John was paid $1.40M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoMANCHIN, JOHN
FARMINGTON, WV 26571

33aNPI1134231640assigned 08/31/2006

33bProvider typeRural Health Clinic/Center

28Total paid$1.40M

24GClaims41,252

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Rural Health Clinic/Center providers in West Virginia

Rank by total paid#20 of 49

Median peer was paid$956K

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	5,698	$265K
2019	3,750	$137K
2020	4,734	$239K
2021	5,784	$170K
2022	6,968	$196K
2023	7,878	$209K
2024incomplete	6,440	$182K

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	73%	20,587	15,186	$1.01M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.2%	1,787	1,389	$59K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.6%	3,105	2,281	$51K
93923		2.9%	862	395	$40K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.3%	2,716	2,344	$33K
81002		1.8%	1,259	1,116	$25K
71046	Radiologic examination, chest; 2 views	1.7%	812	749	$24K
93000		1.5%	1,041	961	$22K
95924		1.4%	360	335	$20K
83036	Hemoglobin; glycosylated (A1C)	1.1%	1,272	1,178	$16K
J0696	Injection, ceftriaxone sodium, per 250 mg	1.0%	484	309	$14K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	489	445	$13K

23 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,038	$13K
80050	General health panel	<1%	399	$11K
80061	Lipid panel	<1%	1,321	$10K
99384		<1%	52	$4K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	262	$4K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	284	$3K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	575	$3K
80053	Comprehensive metabolic panel	<1%	506	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	35	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	29	$2K
36415	Collection of venous blood by venipuncture	<1%	1,146	$2K
99203	Doctor's office visit, new patient (routine)	<1%	28	$2K
82607		<1%	223	$2K
82746		<1%	224	$2K
94010		<1%	76	$877.37
3008F		<1%	20	$875.00
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	13	$700.12
90686		<1%	17	$676.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	19	$650.00
93040		<1%	134	$608.07
93880		<1%	14	$556.39
84443	Thyroid stimulating hormone (TSH)	<1%	12	$69.44
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	0%	51	$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.