Physician
Westmoreland Family Care Center, INC
Westmoreland Family Care Center, INC was paid $659K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoWESTMORELAND FAMILY CARE CENTER, INC
MASON, WV 25260
MASON, WV 25260
33aNPI1497965461assigned 05/22/2007
33bProvider typeFamily Medicine Physician
28Total paid$659K
24GClaims24,545
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#46 of 202
Median peer was paid$172K
This provider vs. median3.8×
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 | 3,955 | $118K | |
| 2019 | 3,010 | $77K | |
| 2020 | 4,396 | $109K | |
| 2021 | 4,610 | $90K | |
| 2022 | 3,576 | $103K | |
| 2023 | 2,799 | $93K | |
| 2024incomplete | 2,199 | $69K |
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 | 67% | 11,919 | 9,941 | $439K |
| 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% | 3,065 | 2,648 | $159K |
| 82962 | 3.9% | 3,062 | 2,399 | $26K | |
| 36415 | Collection of venous blood by venipuncture | 3.4% | 3,055 | 2,773 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 69 | 66 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | 128 | $4K |
| 81002 | <1% | 159 | 139 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,739 | 1,495 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | 19 | $182.43 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 238 | 229 | $0.05 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 127 | 122 | $0.03 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 192 | 185 | $0.03 |
17 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 95 | $0.02 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 65 | $0.01 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 39 | $0.01 |
| 1036F | 0% | 20 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 55 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 64 | $0.00 |
| 3048F | 0% | 31 | $0.00 | |
| 1101F | 0% | 18 | $0.00 | |
| 3011F | 0% | 50 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| 3008F | 0% | 34 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 61 | $0.00 |
| 1123F | 0% | 48 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 1160F | 0% | 36 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 64 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 14 | $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 officialWESTMORELAND, DANNY (PRESIDENT)