Spring Hill Primary Care Physicians PLLC

Spring Hill Primary Care Physicians PLLC was paid $534K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoSPRING HILL PRIMARY CARE PHYSICIANS PLLC
SOUTH CHARLESTON, WV 25309

33aNPI1306811781assigned 02/21/2006

33bProvider typeFamily Medicine Physician

28Total paid$534K

24GClaims16,668

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#51 of 202

Median peer was paid$172K

This provider vs. median3.1×

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	3,271	$113K
2019	1,574	$39K
2020	2,250	$61K
2021	2,136	$59K
2022	2,929	$96K
2023	2,780	$101K
2024incomplete	1,728	$65K

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	48%	4,878	4,334	$258K
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	26%	2,051	1,907	$141K
99308	Subsequent nursing facility care, per day, straightforward	11%	5,773	5,615	$60K
36415	Collection of venous blood by venipuncture	5.4%	2,236	2,052	$29K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.2%	153	145	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.8%	628	590	$10K
90686		1.2%	385	359	$6K
99306	Prolong nursin fac eval 15m	<1%	154	139	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	49	48	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	60	55	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	44	38	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	13	12	$1K

8 more codes

90472	Immunization administration, each additional vaccine (list separately)	<1%	30	$1K
G0008	Administration of influenza virus vaccine	<1%	15	$909.75
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	$856.13
90656		<1%	61	$733.99
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	47	$698.58
99490	Ccm add 20min	<1%	49	$364.18
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	13	$283.50
99318		<1%	17	$153.60

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 officialSKAGGS, CHRISTOPHER (MANAGING PARTNER)