Physician
Point Pleasant Physician Billing Services
Point Pleasant Physician Billing Services was paid $2.18M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPOINT PLEASANT PHYSICIAN BILLING SERVICES
PT PLEASANT, WV 25550
PT PLEASANT, WV 25550
33aNPI1396798898assigned 05/18/2006
33bProvider typeSurgery Physician
28Total paid$2.18M
24GClaims77,746
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in West Virginia
Rank by total paid#3 of 21
Median peer was paid$28K
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 | 27,131 | $766K | |
| 2019 | 15,338 | $403K | |
| 2020 | 12,911 | $388K | |
| 2021 | 6,393 | $183K | |
| 2022 | 7,737 | $269K | |
| 2023 | 2,944 | $92K | |
| 2024incomplete | 5,292 | $80K |
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 | 25% | 13,936 | 11,985 | $537K |
| 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 | 24% | 11,534 | 10,231 | $527K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 10,084 | 9,245 | $402K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.1% | 1,936 | 1,787 | $111K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.3% | 2,757 | 2,566 | $72K |
| 3008F | 2.8% | 5,132 | 4,583 | $61K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 1,536 | 1,393 | $54K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 4,590 | 3,946 | $39K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 7,393 | 6,345 | $38K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.3% | 501 | 467 | $28K |
| 99307 | 1.2% | 3,156 | 2,408 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 485 | 437 | $24K |
61 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,052 | $24K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 220 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 168 | $15K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 536 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 820 | $14K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 341 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 209 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 266 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 652 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 638 | $9K |
| 81003 | <1% | 1,082 | $9K | |
| 93016 | <1% | 306 | $8K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 458 | $7K |
| 93000 | <1% | 149 | $7K | |
| 93018 | <1% | 307 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 362 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 305 | $6K |
| 99304 | <1% | 549 | $5K | |
| 20610 | <1% | 136 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 128 | $5K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 154 | $4K |
| 90686 | <1% | 281 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 39 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 59 | $3K |
| 81025 | <1% | 195 | $3K | |
| 99442 | <1% | 305 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 50 | $3K |
| 99441 | <1% | 182 | $3K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 234 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 148 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 46 | $2K |
| 59025 | Fetal non-stress test | <1% | 77 | $2K |
| 92551 | <1% | 33 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $1K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 48 | $1K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $922.29 |
| 99219 | <1% | 12 | $708.03 | |
| 99173 | <1% | 17 | $577.71 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 39 | $519.88 |
| 99305 | <1% | 46 | $508.81 | |
| 93298 | <1% | 47 | $452.77 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 20 | $434.27 |
| 99218 | <1% | 12 | $433.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $432.35 |
| 99318 | <1% | 13 | $372.49 | |
| 90670 | <1% | 33 | $365.62 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $341.12 |
| 99201 | <1% | 15 | $319.64 | |
| 97597 | <1% | 33 | $300.40 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $227.91 |
| 90723 | <1% | 16 | $54.42 | |
| 3079F | <1% | 207 | $0.13 | |
| 3078F | <1% | 473 | $0.10 | |
| 3074F | <1% | 523 | $0.10 | |
| 3075F | <1% | 49 | $0.02 | |
| 3077F | <1% | 40 | $0.01 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 97 | $0.00 |
| 3288F | 0% | 879 | $0.00 | |
| 1220F | 0% | 582 | $0.00 | |
| 1101F | 0% | 854 | $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 officialGROVES, TASHA (CREDENTIALLING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Pleasant Valley Hospital, INC. | Point Pleasant, WV | $6.64M |
| Pleasant Valley Hospital, INC. | Pt Pleasant, WV | $6.61M |
| Pleasant Valley Hospital INC | Mason, WV | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.