Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › BURGETTSTOWN › WMC PHYSICIAN PRACTICES LLC

WMC PHYSICIAN PRACTICES LLC

NPI: 1518303288 · BURGETTSTOWN, PA 15021 · Surgery Physician · NPI assigned 05/21/2013

$7.62M
Total Medicaid Paid
304,822
Total Claims
252,565
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKEEN, LINDA (PROVIDER SUPPORT AND CREDENTIALING)
NPI Enumeration Date05/21/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,757 $1.24M
2019 37,204 $721K
2020 53,612 $1.08M
2021 46,189 $1.10M
2022 53,355 $1.29M
2023 43,874 $1.23M
2024 23,831 $964K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,345 62,769 $3.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,824 24,121 $1.55M
99232 Subsequent hospital care, per day, moderate complexity 17,865 5,407 $481K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,735 3,479 $222K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,046 1,871 $177K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,378 2,012 $137K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,851 1,709 $125K
99215 Prolong outpt/office vis 1,643 1,466 $115K
99222 Initial hospital care, per day, moderate complexity 1,597 1,196 $103K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,169 12,913 $93K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,075 983 $90K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,077 1,033 $78K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,109 4,502 $76K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,166 2,062 $74K
99308 Subsequent nursing facility care, per day, straightforward 11,392 9,516 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,048 2,568 $65K
90472 Immunization administration, each additional vaccine (list separately) 2,259 2,007 $57K
99238 Hospital discharge day management, 30 minutes or less 1,048 934 $43K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 513 502 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 534 506 $38K
20610 1,014 717 $38K
G0444 Annual depression screening, 5 to 15 minutes 3,640 3,523 $30K
81025 2,442 2,278 $29K
99460 481 434 $26K
51798 2,219 1,930 $25K
90670 1,426 1,066 $25K
G8754 Most recent diastolic blood pressure < 90 mmhg 12,268 10,629 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 300 285 $24K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,304 1,269 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,139 1,769 $23K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 8,807 7,664 $22K
45380 Colonoscopy, flexible; with biopsy, single or multiple 152 138 $21K
99220 187 164 $20K
G8752 Most recent systolic blood pressure < 140 mmhg 9,763 8,490 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,766 2,483 $17K
81002 3,766 3,198 $16K
52000 353 324 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 436 412 $16K
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 2,801 2,503 $16K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 5,703 5,010 $15K
3008F 3,648 3,064 $14K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,798 6,537 $13K
99205 Prolong outpt/office vis 124 115 $12K
90686 1,445 1,108 $12K
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 2,871 2,514 $12K
99223 Prolong inpt eval add15 m 143 105 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,391 1,211 $10K
59025 Fetal non-stress test 300 189 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,546 4,802 $9K
90648 1,691 1,263 $8K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,273 974 $8K
99239 Hospital discharge day management, more than 30 minutes 113 102 $8K
90723 1,089 794 $8K
1036F 3,047 2,664 $7K
59430 40 37 $7K
52332 103 90 $7K
93016 446 431 $7K
90674 341 300 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 488 234 $7K
99335 489 399 $6K
4004F 1,968 1,726 $6K
95909 114 99 $5K
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,768 1,539 $5K
3074F 4,011 3,390 $5K
93018 445 430 $5K
90680 833 598 $5K
3044F 1,697 1,483 $4K
G8753 Most recent systolic blood pressure >= 140 mmhg 2,018 1,754 $4K
93970 65 64 $4K
99442 250 204 $4K
3078F 3,112 2,645 $4K
93000 359 336 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 258 217 $3K
92551 410 380 $3K
99406 293 251 $3K
92557 113 104 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 213 207 $3K
99462 90 62 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 416 353 $2K
99217 51 46 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 29 26 $2K
1160F 376 333 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
4008F 1,627 1,378 $2K
G8755 Most recent diastolic blood pressure >= 90 mmhg 857 739 $2K
92567 148 133 $1K
90710 85 74 $1K
3079F 2,703 2,325 $1K
95886 43 38 $1K
90677 307 236 $1K
90756 54 49 $1K
99173 414 370 $1K
4010F 550 471 $1K
36415 Collection of venous blood by venipuncture 288 250 $1K
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 156 131 $884.66
90688 38 35 $698.95
96127 215 188 $608.87
87210 148 71 $603.34
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $552.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 23 21 $547.45
99443 29 28 $535.55
G9744 Patient not eligible due to active diagnosis of hypertension 122 103 $496.68
1125F 99 90 $486.95
4086F 1,069 911 $465.90
3011F 201 166 $465.22
76937 62 54 $416.68
93244 24 24 $405.23
90633 282 194 $397.88
1090F 84 78 $385.44
3077F 808 689 $374.16
95816 13 13 $333.82
G8482 Influenza immunization administered or previously received 59 49 $330.60
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 234 215 $311.27
3080F 208 180 $261.01
90661 31 31 $258.87
3075F 1,061 920 $210.62
99484 28 28 $200.30
J1050 Injection, medroxyprogesterone acetate, 1 mg 510 490 $176.49
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 919 764 $175.25
90656 57 55 $156.45
83655 14 14 $154.25
99441 12 12 $151.46
94664 16 12 $150.66
99233 Prolong inpt eval add15 m 18 12 $82.57
99490 Ccm add 20min 12 12 $81.43
94760 139 110 $53.27
3045F 12 12 $52.90
85018 13 13 $28.02
96161 15 15 $25.80
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 17 12 $0.58
4013F 638 522 $0.25
3048F 76 64 $0.12
1124F 20 14 $0.07
G8967 Fda approved oral anticoagulant is prescribed 16 13 $0.02
2010F 397 332 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 117 90 $0.01
0502F 254 201 $0.00
90715 20 13 $0.00
G9796 Patient is currently on a high intensity statin therapy 15 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 14 13 $0.00
3725F 41 39 $0.00
3288F 55 50 $0.00
90734 49 37 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 48 42 $0.00
1126F 31 27 $0.00
1101F 56 53 $0.00
G9189 Beta-blocker therapy prescribed or currently being taken 49 43 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 98 88 $0.00
1111F 14 13 $0.00
99000 20 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 12 $0.00
0513F 12 12 $0.00