Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Summersville Family Medicine INC

Summersville Family Medicine INC was paid $354K by Medicaid between Jan 2018 and Nov 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoSUMMERSVILLE FAMILY MEDICINE INC
SUMMERSVILLE, WV 26651
33aNPI1437426780assigned 11/30/2011
28Total paid$354K
24GClaims18,804
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2023
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
20184,126$106K
20192,044$44K
20202,896$58K
20212,501$50K
20224,392$50K
20232,845$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 7,098 4,967 $201K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18% 3,682 2,554 $65K
36415 Collection of venous blood by venipuncture 8.4% 3,623 2,533 $30K
99308 Subsequent nursing facility care, per day, straightforward 4.3% 2,508 2,121 $15K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2.7% 471 381 $10K
82962 2.5% 409 349 $9K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.5% 47 14 $5K
G8754 Most recent diastolic blood pressure < 90 mmhg 1.2% 223 189 $4K
G8752 Most recent systolic blood pressure < 140 mmhg 1.2% 219 185 $4K
20610 <1% 54 41 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 75 59 $2K
90756 <1% 87 63 $2K
7 more codes
G0008 Administration of influenza virus vaccine <1% 62 $2K
90687 <1% 39 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 48 $732.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 93 $638.79
90674 <1% 38 $337.56
99309 Subsequent nursing facility care, per day, low to moderate complexity 0% 13 $0.00
90694 0% 15 $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 officialTRENBATH, RICHARD (PRESIDENT)