Physician
Midtowne Family Practice PLLC
Midtowne Family Practice PLLC was paid $395K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoMIDTOWNE FAMILY PRACTICE PLLC
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1154436004assigned 08/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$395K
24GClaims9,775
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#60 of 202
Median peer was paid$172K
This provider vs. median2.3×
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 | 363 | $15K | |
| 2019 | 764 | $27K | |
| 2020 | 1,565 | $55K | |
| 2021 | 1,412 | $59K | |
| 2022 | 2,467 | $101K | |
| 2023 | 1,627 | $68K | |
| 2024incomplete | 1,577 | $70K |
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 | 85% | 6,524 | 5,458 | $334K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 997 | 897 | $15K |
| 87428 | 3.3% | 442 | 383 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 617 | 577 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 187 | 175 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 469 | 219 | $7K |
| 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 | <1% | 59 | 55 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | 35 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | 59 | $2K |
| 90686 | <1% | 260 | 250 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 35 | 24 | $637.44 |
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 officialFAULKNER, PAMELA (PHYSICIAN/OWNER)