NP / PA
United Physicians Care INC
United Physicians Care INC was paid $18.45M by Medicaid between Jan 2018 and Dec 2024, across 136 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoUNITED PHYSICIANS CARE INC
SHINNSTON, WV 26431
SHINNSTON, WV 26431
33aNPI1184849200assigned 04/16/2007
33bProvider typeNurse Practitioner
28Total paid$18.45M
24GClaims433,376
24DCodes billed136
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in West Virginia
Rank by total paid#1 of 19
Median peer was paid$56K
This provider vs. median329×
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 | 63,476 | $3.10M | |
| 2019 | 18,213 | $908K | |
| 2020 | 44,712 | $2.06M | |
| 2021 | 56,783 | $2.07M | |
| 2022 | 87,378 | $3.54M | |
| 2023 | 87,203 | $3.62M | |
| 2024incomplete | 75,611 | $3.15M |
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 | 23% | 71,001 | 61,782 | $4.31M |
| 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 | 23% | 55,098 | 50,181 | $4.24M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.2% | 19,665 | 6,868 | $954K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 11,356 | 10,408 | $904K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 11,795 | 9,892 | $853K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 6,616 | 6,235 | $525K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.8% | 11,186 | 9,960 | $510K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.7% | 4,907 | 4,446 | $491K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 5,156 | 1,965 | $384K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 27,169 | 24,383 | $383K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.1% | 2,929 | 2,671 | $380K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 14,706 | 13,290 | $331K |
124 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 22,572 | $322K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 3,373 | $298K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 3,296 | $276K |
| 99284 | Emergency room visit (serious) | 1.5% | 3,831 | $273K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 4,424 | $218K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 1,813 | $212K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 3,040 | $206K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 2,067 | $206K |
| 36415 | Collection of venous blood by venipuncture | <1% | 19,669 | $142K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,222 | $142K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,364 | $110K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,225 | $109K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,406 | $96K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,541 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,291 | $84K |
| 92551 | <1% | 7,249 | $83K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,214 | $83K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,932 | $73K |
| 90686 | <1% | 6,123 | $64K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,702 | $64K |
| 90677 | <1% | 766 | $58K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 6,314 | $58K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,466 | $49K |
| 99495 | <1% | 369 | $49K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,728 | $49K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,440 | $48K |
| 99205 | Prolong outpt/office vis | <1% | 305 | $43K |
| 90670 | <1% | 5,428 | $42K | |
| 3008F | <1% | 1,868 | $41K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 540 | $39K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 795 | $37K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,806 | $32K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 971 | $30K |
| 99460 | <1% | 434 | $29K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 172 | $26K |
| 99217 | <1% | 537 | $24K | |
| 99221 | <1% | 363 | $23K | |
| 90474 | <1% | 2,458 | $19K | |
| 99225 | <1% | 381 | $17K | |
| 99307 | <1% | 3,554 | $17K | |
| 90648 | <1% | 2,192 | $17K | |
| 99219 | <1% | 198 | $16K | |
| 81003 | <1% | 1,819 | $16K | |
| 99220 | <1% | 125 | $15K | |
| 99173 | <1% | 2,842 | $15K | |
| 99383 | <1% | 167 | $13K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 427 | $13K |
| 90723 | <1% | 2,135 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 284 | $9K |
| 90651 | <1% | 1,221 | $9K | |
| 99462 | <1% | 191 | $9K | |
| 87807 | <1% | 679 | $9K | |
| 82962 | <1% | 223 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 163 | $8K |
| 90680 | <1% | 4,154 | $7K | |
| 96127 | <1% | 1,967 | $7K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 84 | $7K |
| 93000 | <1% | 991 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 201 | $7K |
| 93016 | <1% | 439 | $7K | |
| 90671 | <1% | 1,088 | $6K | |
| 90473 | <1% | 534 | $6K | |
| 90715 | <1% | 920 | $5K | |
| 90656 | <1% | 705 | $5K | |
| 99381 | <1% | 82 | $5K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 65 | $5K |
| 92567 | <1% | 165 | $5K | |
| 99384 | <1% | 50 | $5K | |
| 93018 | <1% | 440 | $4K | |
| 90633 | <1% | 3,065 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 77 | $4K |
| 81002 | <1% | 1,714 | $4K | |
| 81025 | <1% | 445 | $3K | |
| 99382 | <1% | 43 | $3K | |
| 0072A | <1% | 167 | $3K | |
| 99406 | <1% | 219 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 70 | $3K |
| 0071A | <1% | 142 | $3K | |
| 99177 | <1% | 670 | $2K | |
| 99218 | <1% | 29 | $2K | |
| 80305 | <1% | 15 | $1K | |
| 99188 | <1% | 70 | $1K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 241 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 554 | $939.06 |
| 90688 | <1% | 29 | $923.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 148 | $897.32 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 100 | $849.93 |
| 90647 | <1% | 1,301 | $657.26 | |
| 85018 | <1% | 159 | $599.25 | |
| 94760 | <1% | 631 | $569.44 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,097 | $562.59 |
| 3045F | <1% | 26 | $388.35 | |
| 90716 | <1% | 1,400 | $368.88 | |
| 90619 | <1% | 87 | $357.60 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 111 | $355.47 |
| 86308 | <1% | 64 | $303.91 | |
| 99305 | <1% | 23 | $276.48 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | $246.02 |
| 93244 | <1% | 12 | $215.09 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 19 | $194.73 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 86 | $155.40 |
| 99441 | <1% | 18 | $152.59 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | $128.26 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 234 | $102.28 |
| 95251 | <1% | 305 | $90.40 | |
| 90700 | <1% | 1,173 | $85.44 | |
| 90707 | <1% | 1,406 | $51.78 | |
| 36416 | <1% | 781 | $27.42 | |
| 96160 | <1% | 12 | $20.72 | |
| 90734 | <1% | 647 | $13.20 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 36 | $1.87 |
| 3051F | 0% | 93 | $0.00 | |
| 3046F | 0% | 42 | $0.00 | |
| 90461 | 0% | 37 | $0.00 | |
| 90710 | 0% | 1,054 | $0.00 | |
| 91308 | 0% | 15 | $0.00 | |
| 98960 | 0% | 29 | $0.00 | |
| 90696 | 0% | 1,139 | $0.00 | |
| 3044F | 0% | 232 | $0.00 | |
| 90698 | 0% | 739 | $0.00 | |
| 90697 | 0% | 146 | $0.00 | |
| 91307 | 0% | 147 | $0.00 | |
| 3052F | 0% | 52 | $0.00 | |
| 99318 | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialFORESTER, JOHN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| United Physicians Care INC | Gassaway, WV | $56K |
| United Physicians Care INC | Shinnston, WV | $37K |
| United Physicians Care INC | Grafton, WV | $17K |
| United Physicians Care INC | Bridgeport, WV | $12K |
| United Physicians Care INC | Pennsboro, WV | $6K |
| United Physicians Care INC | Philippi, WV | $3K |
| United Physicians Care INC | West Union, WV | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.