Physician
Brandon M Lingenfelter DO PHD
Brandon M Lingenfelter DO PHD was paid $3.88M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBRANDON M LINGENFELTER DO PHD
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1255788758assigned 05/16/2016
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.88M
24GClaims101,392
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in West Virginia
Rank by total paid#5 of 40
Median peer was paid$84K
This provider vs. median46×
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 | 6,425 | $317K | |
| 2019 | 5,388 | $213K | |
| 2020 | 18,252 | $660K | |
| 2021 | 16,558 | $535K | |
| 2022 | 17,664 | $642K | |
| 2023 | 16,889 | $614K | |
| 2024incomplete | 20,216 | $897K |
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 | 31% | 18,805 | 12,676 | $1.20M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 10.0% | 6,348 | 4,606 | $387K |
| 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 | 7.3% | 3,929 | 3,553 | $284K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.0% | 366 | 346 | $271K |
| 76830 | Ultrasound, transvaginal | 5.1% | 2,591 | 2,417 | $197K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 1,713 | 1,580 | $163K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.7% | 3,574 | 3,269 | $106K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.7% | 3,575 | 3,272 | $106K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 1,326 | 1,290 | $103K |
| 59430 | 2.6% | 461 | 440 | $102K | |
| 81002 | 2.2% | 15,555 | 10,423 | $84K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.2% | 1,697 | 1,355 | $84K |
47 more codes
| 87480 | 1.6% | 3,635 | $63K | |
| 87510 | 1.6% | 3,602 | $63K | |
| 87660 | 1.6% | 3,609 | $62K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.4% | 514 | $54K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 8,472 | $50K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.2% | 3,248 | $46K |
| 87806 | <1% | 1,531 | $38K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 615 | $33K |
| 76818 | <1% | 443 | $32K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 648 | $32K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,329 | $30K |
| 81003 | <1% | 770 | $29K | |
| 87150 | <1% | 1,067 | $28K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 295 | $25K |
| 96127 | <1% | 1,781 | $23K | |
| 58558 | <1% | 45 | $23K | |
| 81025 | <1% | 1,938 | $21K | |
| 84439 | <1% | 2,078 | $18K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 487 | $17K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 232 | $11K |
| 59025 | Fetal non-stress test | <1% | 373 | $10K |
| 87481 | <1% | 422 | $9K | |
| 96160 | <1% | 380 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 197 | $8K |
| 76820 | <1% | 220 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 44 | $6K |
| 90715 | <1% | 165 | $5K | |
| 84703 | <1% | 668 | $4K | |
| 87653 | <1% | 126 | $4K | |
| 83001 | <1% | 227 | $3K | |
| 87081 | <1% | 703 | $3K | |
| 83002 | <1% | 185 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 33 | $3K |
| 90688 | <1% | 113 | $2K | |
| 82670 | <1% | 114 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 60 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 199 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 36 | $2K |
| 99406 | <1% | 51 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 14 | $975.10 |
| 84144 | <1% | 79 | $900.12 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $762.00 |
| 84146 | <1% | 39 | $523.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $455.20 |
| 84702 | <1% | 20 | $162.60 | |
| 88141 | 0% | 581 | $0.00 | |
| 4004F | 0% | 19 | $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 officialLINGENFELTER, BRANDON (OWNER)