Oak Hill Clinic Corp
Oak Hill Clinic Corp was paid $2.28M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
OAK HILL, WV 25901
Next to other Family Medicine Physician providers in West Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,732 | $309K | |
| 2019 | 3,350 | $139K | |
| 2020 | 7,529 | $406K | |
| 2021 | 16,357 | $482K | |
| 2022 | 38,176 | $697K | |
| 2023 | 13,708 | $231K | |
| 2024incomplete | 230 | $18K |
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 | 33% | 11,694 | 10,618 | $742K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 14,277 | 12,401 | $638K |
| 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 | 10% | 2,399 | 2,289 | $235K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 3,001 | 2,800 | $199K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.5% | 1,319 | 1,249 | $149K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.4% | 355 | 335 | $77K |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 4,416 | 3,956 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,232 | 1,116 | $40K |
| 31231 | 1.7% | 359 | 338 | $39K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 181 | 174 | $29K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 83 | 78 | $15K |
| 47562 | <1% | 46 | 25 | $11K |
44 more codes
| 4004F | <1% | 714 | $7K | |
| 31575 | <1% | 78 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 514 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 43 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 145 | $5K |
| 90688 | <1% | 157 | $5K | |
| 1036F | <1% | 7,197 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 315 | $4K |
| 43450 | <1% | 58 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 175 | $3K |
| 99442 | <1% | 232 | $3K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 15 | $2K |
| 92567 | <1% | 267 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 151 | $2K |
| 92557 | <1% | 83 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $1K |
| 81002 | <1% | 571 | $1K | |
| 69210 | <1% | 31 | $924.27 | |
| 99441 | <1% | 87 | $289.38 | |
| 90686 | <1% | 16 | $247.76 | |
| 92587 | <1% | 12 | $164.89 | |
| 99422 | <1% | 30 | $159.74 | |
| 99421 | <1% | 14 | $132.37 | |
| 99423 | <1% | 13 | $106.46 | |
| 93000 | <1% | 12 | $70.54 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $24.96 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $24.17 |
| 1159F | 0% | 2,797 | $0.00 | |
| 1160F | 0% | 3,947 | $0.00 | |
| 3725F | 0% | 1,109 | $0.00 | |
| 3078F | 0% | 3,870 | $0.00 | |
| 3077F | 0% | 892 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 44 | $0.00 |
| 1126F | 0% | 1,484 | $0.00 | |
| 3008F | 0% | 7,996 | $0.00 | |
| 99024 | 0% | 1,115 | $0.00 | |
| 3074F | 0% | 3,827 | $0.00 | |
| 1034F | 0% | 2,083 | $0.00 | |
| 3075F | 0% | 1,005 | $0.00 | |
| 1125F | 0% | 703 | $0.00 | |
| 3080F | 0% | 321 | $0.00 | |
| 1035F | 0% | 390 | $0.00 | |
| 3079F | 0% | 1,785 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 373 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cleveland Medical Clinic INC | Cleveland, TN | $1.75M |
| Carolinas Medical Alliance INC | Florence, SC | $761K |
| Lake Area Physician Services LLC | Lake Charles, LA | $666K |
| Moberly Medical Clinics INC | Moberly, MO | $372K |
| Dyersburg Clinic Corp | Dyersburg, TN | $259K |
| Madison Clinic Corp | Jackson, TN | $132K |
| Carolinas Medical Alliance INC | Florence, SC | $73K |
| Carolinas Medical Alliance INC | Florence, SC | $62K |
| Franklin Hospital Corporation | Franklin, VA | $20K |
| DCF | Abilene, TX | $20K |
| Carolinas Medical Alliance INC | Pamplico, SC | $11K |
| Carolinas Medical Alliance INC | Florence, SC | $9K |
| Carlsbad Medical Center LLC | Carlsbad, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.