Physician
Chapmanville Primary Care Clinic
Chapmanville Primary Care Clinic was paid $4.13M by Medicaid between Jan 2018 and Jan 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoCHAPMANVILLE PRIMARY CARE CLINIC
CHAPMANVILLE, WV 25508
CHAPMANVILLE, WV 25508
33aNPI1396284428assigned 02/22/2017
33bProvider typeGeneral Practice Physician
28Total paid$4.13M
24GClaims89,830
24DCodes billed36
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other General Practice Physician providers in West Virginia
Rank by total paid#3 of 20
Median peer was paid$53K
This provider vs. median78×
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 | 10,224 | $608K | |
| 2019 | 4,910 | $284K | |
| 2020 | 20,016 | $820K | |
| 2021 | 20,213 | $780K | |
| 2022 | 15,581 | $763K | |
| 2023 | 18,207 | $842K | |
| 2024incomplete | 679 | $31K |
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 | 43% | 25,348 | 22,765 | $1.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 13,854 | 11,897 | $739K |
| Q3014 | Telehealth originating site facility fee | 9.4% | 17,262 | 14,223 | $389K |
| 99407 | 6.2% | 7,432 | 6,868 | $258K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.2% | 2,364 | 1,433 | $214K |
| 99442 | 3.2% | 4,797 | 4,310 | $131K | |
| 99443 | 2.7% | 4,921 | 4,344 | $111K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.1% | 2,246 | 2,105 | $88K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.8% | 1,832 | 1,737 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,166 | 1,834 | $70K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.1% | 1,320 | 1,249 | $47K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 783 | 532 | $46K |
24 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 442 | $42K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 859 | $35K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 958 | $34K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 323 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 293 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 684 | $19K |
| 99401 | <1% | 294 | $7K | |
| 99441 | <1% | 382 | $6K | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 73 | $5K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 219 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 60 | $3K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 79 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 41 | $2K |
| 90658 | <1% | 16 | $1K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 36 | $986.51 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $423.20 |
| 99406 | <1% | 37 | $389.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | $285.68 |
| 98968 | <1% | 15 | $204.61 | |
| 80306 | <1% | 19 | $138.87 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 474 | $91.35 |
| 97803 | <1% | 18 | $90.44 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 73 | $90.14 |
| 99000 | 0% | 51 | $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.
From NPPES
Who's on the registration
Authorized officialCABAUATAN, LIVIA (MEDICAL DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Logan County Board of Health | Logan, WV | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.