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
SUMMERSVILLE, WV 26651
33aNPI1437426780assigned 11/30/2011
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$354K
24GClaims18,804
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2023
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 | 4,126 | $106K | |
| 2019 | 2,044 | $44K | |
| 2020 | 2,896 | $58K | |
| 2021 | 2,501 | $50K | |
| 2022 | 4,392 | $50K | |
| 2023 | 2,845 | $45K |
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 | 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)