Francis, Richard

Francis, Richard was paid $309K by Medicaid between Mar 2018 and Dec 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 72% of everything it billed.

33Billing provider infoFRANCIS, RICHARD
CHARLESTON, WV 25301

33aNPI1518169663assigned 06/01/2007

33bProvider typeOphthalmology Physician

28Total paid$309K

24GClaims3,735

24DCodes billed6

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in West Virginia

Rank by total paid#6 of 27

Median peer was paid$73K

This provider vs. median4.2×

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	90	$5K
2019	62	$2K
2020	276	$18K
2021	426	$26K
2022	622	$53K
2023	1,183	$110K
2024incomplete	1,076	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	72%	2,171	2,071	$223K
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	23%	1,098	1,057	$69K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.0%	124	118	$9K
92250		2.0%	314	303	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$639.21
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	13	$185.66

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.