Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Pt Pleasant › NPI 1356544365
Physician

Robert M Holley MD, INC

Robert M Holley MD, INC was paid $347K by Medicaid between Jan 2018 and Jul 2022, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoROBERT M HOLLEY MD, INC
PT PLEASANT, WV 25550
33aNPI1356544365assigned 06/07/2007
28Total paid$347K
24GClaims8,698
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#64 of 202
Median peer was paid$172K
This provider vs. median2.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,942$116K
20191,704$47K
20201,957$84K
20211,316$63K
2022779$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 77% 6,157 5,731 $268K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,296 1,210 $44K
93000 2.5% 449 417 $9K
99220 2.4% 117 106 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.4% 93 24 $5K
90656 <1% 121 120 $3K
99217 <1% 43 42 $2K
G0008 Administration of influenza virus vaccine <1% 63 62 $2K
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 <1% 15 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 47 47 $1K
99443 <1% 151 141 $863.19
99225 <1% 13 12 $660.18
3 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 16 $641.72
99442 <1% 104 $478.43
J1040 Injection, methylprednisolone acetate, 80 mg <1% 13 $354.85

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 officialHOLLEY, ROBERT (PHYSICIAN)