Physician
Envision Medical Care, LLC
Envision Medical Care, LLC was paid $2.59M by Medicaid between Nov 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoENVISION MEDICAL CARE, LLC
RIPLEY, WV 25271
RIPLEY, WV 25271
33aNPI1194338244assigned 08/28/2020
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$2.59M
24GClaims67,280
24DCodes billed21
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in West Virginia
Rank by total paid#6 of 12
Median peer was paid$1.16M
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2020 | 4,168 | $143K | |
| 2021 | 25,246 | $835K | |
| 2022 | 15,163 | $576K | |
| 2023 | 13,630 | $609K | |
| 2024incomplete | 9,073 | $431K |
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 | 47% | 21,204 | 7,804 | $1.21M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 16% | 4,260 | 3,379 | $416K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 7.8% | 11,846 | 4,781 | $201K |
| 99401 | 5.2% | 5,287 | 2,146 | $134K | |
| 80305 | 4.8% | 12,181 | 7,347 | $124K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 2,490 | 1,588 | $122K |
| 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 | 4.3% | 1,402 | 983 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 2,529 | 1,794 | $89K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.6% | 710 | 263 | $68K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 470 | 462 | $54K |
| 81025 | <1% | 2,485 | 2,307 | $19K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 305 | 234 | $18K |
9 more codes
| 99402 | <1% | 478 | $16K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 556 | $8K |
| 90863 | <1% | 650 | $738.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 186 | $653.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $619.92 |
| 96127 | <1% | 85 | $472.00 | |
| 84703 | <1% | 42 | $284.34 | |
| 90838 | 0% | 30 | $0.00 | |
| 99442 | 0% | 16 | $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 officialCLAY, J (CEO)