Physician
Doctors Specialty Care
Doctors Specialty Care was paid $4.11M by Medicaid between Jan 2018 and Mar 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoDOCTORS SPECIALTY CARE
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1285013896assigned 05/28/2015
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$4.11M
24GClaims113,879
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in West Virginia
Rank by total paid#3 of 12
Median peer was paid$1.16M
This provider vs. median3.5×
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 | 31,210 | $1.07M | |
| 2019 | 19,093 | $722K | |
| 2020 | 53,500 | $1.96M | |
| 2021 | 10,076 | $347K |
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 | 33% | 30,728 | 11,134 | $1.34M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 21% | 20,066 | 8,826 | $854K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 12% | 10,337 | 6,206 | $472K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 8.0% | 16,031 | 6,291 | $327K |
| 99401 | 6.2% | 9,332 | 3,855 | $254K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.0% | 2,865 | 2,219 | $247K |
| 99406 | 5.5% | 9,006 | 4,925 | $227K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 6,081 | 3,000 | $180K |
| 99402 | 2.5% | 2,583 | 1,019 | $104K | |
| 80305 | 1.9% | 4,959 | 3,143 | $78K | |
| 84703 | <1% | 1,347 | 1,156 | $20K | |
| 81025 | <1% | 330 | 257 | $3K |
2 more codes
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 officialLAUDERMAN, THOMAS (OWNER)