Fairview Health Associates INC

Fairview Health Associates INC was paid $267K by Medicaid between Jan 2018 and Sep 2020, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoFAIRVIEW HEALTH ASSOCIATES INC
SUMMERSVILLE, WV 26651

33aNPI1336137702assigned 10/11/2005

33bProvider typeFamily Medicine Physician

28Total paid$267K

24GClaims6,798

24DCodes billed18

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#75 of 202

Median peer was paid$172K

This provider vs. median1.6×

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	4,063	$163K
2019	1,802	$72K
2020	933	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	47%	2,512	2,159	$125K
36415	Collection of venous blood by venipuncture	20%	1,668	1,398	$54K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	12%	903	806	$33K
80053	Comprehensive metabolic panel	11%	840	753	$30K
80061	Lipid panel	2.8%	227	204	$8K
90756		2.3%	143	125	$6K
99406		1.2%	95	83	$3K
G0008	Administration of influenza virus vaccine	<1%	46	42	$2K
80305		<1%	51	50	$1K
80048	Basic metabolic panel (calcium, ionized)	<1%	27	24	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	83	64	$1K
84443	Thyroid stimulating hormone (TSH)	<1%	34	27	$924.22

6 more codes

G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	42	$765.62
81003		<1%	17	$559.38
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	36	$376.48
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	38	$352.55
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	18	$64.95
3017F		<1%	18	$41.02

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 officialSHANK, JOHN (PRESIDENT)