Physician
Young, Denise
Young, Denise was paid $143K by Medicaid between Jan 2018 and Mar 2019, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoYOUNG, DENISE
SCOTT DEPOT, WV 25560
SCOTT DEPOT, WV 25560
33aNPI1306000880assigned 07/15/2008
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$143K
24GClaims4,269
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in West Virginia
Rank by total paid#3 of 6
Median peer was paid$109K
This provider vs. median1.3×
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 | 2,358 | $82K | |
| 2019 | 1,911 | $61K |
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 | 75% | 2,323 | 2,055 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 166 | 166 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 83 | 81 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 429 | 428 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 218 | 204 | $3K |
| 90461 | 2.0% | 226 | 226 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 166 | 164 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $1K |
| 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% | 14 | 14 | $993.86 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $988.65 |
| 87081 | <1% | 102 | 102 | $771.12 | |
| 87430 | <1% | 58 | 56 | $765.52 |
11 more codes
| 87276 | <1% | 30 | $410.10 | |
| 96127 | <1% | 45 | $319.95 | |
| 87807 | <1% | 16 | $218.72 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 17 | $143.65 |
| 90688 | 0% | 64 | $0.00 | |
| 90723 | 0% | 56 | $0.00 | |
| 90647 | 0% | 62 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 90670 | 0% | 128 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90681 | 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.