Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN WV MEDICAL AND SURGICAL SPECIALISTS PLLC

NPI: 1497103386 · LEWISBURG, WV 24901 · Otolaryngology Physician · NPI assigned 06/01/2016

$108K
Total Medicaid Paid
2,061
Total Claims
1,830
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialDOUGLAS, JUSTIN (OWNER/PRESIDENT)
NPI Enumeration Date06/01/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,120 $67K
2019 382 $15K
2020 261 $12K
2021 161 $6K
2022 64 $5K
2023 73 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 360 305 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 727 660 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 792 706 $30K
99215 Prolong outpt/office vis 182 159 $11K