Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

WMC Physician Practices LLC

WMC Physician Practices LLC was paid $7.62M by Medicaid between Jan 2018 and Dec 2024, across 152 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoWMC PHYSICIAN PRACTICES LLC
BURGETTSTOWN, PA 15021
33aNPI1518303288assigned 05/21/2013
33bProvider typeSurgery Physician
28Total paid$7.62M
24GClaims304,822
24DCodes billed152
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Surgery Physician providers in Pennsylvania

Rank by total paid#3 of 190
Median peer was paid$3K
This provider vs. median2,284×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201846,757$1.24M
201937,204$721K
202053,612$1.08M
202146,189$1.10M
202253,355$1.29M
202343,874$1.23M
2024incomplete23,831$964K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 74,345 62,769 $3.25M
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 20% 26,824 24,121 $1.55M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.3% 17,865 5,407 $481K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 3,735 3,479 $222K
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 2.3% 2,046 1,871 $177K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 2,378 2,012 $137K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 1,851 1,709 $125K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 1,643 1,466 $115K
99222 Initial hospital care, per day, moderate complexity 1.4% 1,597 1,196 $103K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 15,169 12,913 $93K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 1,075 983 $90K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.0% 1,077 1,033 $78K
140 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,109 $76K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,166 $74K
99308 Subsequent nursing facility care, per day, straightforward <1% 11,392 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,048 $65K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,259 $57K
99238 Hospital discharge day management, 30 minutes or less <1% 1,048 $43K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 513 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 534 $38K
20610 <1% 1,014 $38K
G0444 Annual depression screening, 5 to 15 minutes <1% 3,640 $30K
81025 <1% 2,442 $29K
99460 <1% 481 $26K
51798 <1% 2,219 $25K
90670 <1% 1,426 $25K
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 12,268 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 300 $24K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 1,304 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,139 $23K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 8,807 $22K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 152 $21K
99220 <1% 187 $20K
G8752 Most recent systolic blood pressure < 140 mmhg <1% 9,763 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,766 $17K
81002 <1% 3,766 $16K
52000 <1% 353 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 436 $16K
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required <1% 2,801 $16K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 5,703 $15K
3008F <1% 3,648 $14K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 7,798 $13K
99205 Prolong outpt/office vis <1% 124 $12K
90686 <1% 1,445 $12K
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented <1% 2,871 $12K
99223 Prolong inpt eval add15 m <1% 143 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,391 $10K
59025 Fetal non-stress test <1% 300 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 5,546 $9K
90648 <1% 1,691 $8K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given <1% 1,273 $8K
99239 Hospital discharge day management, more than 30 minutes <1% 113 $8K
90723 <1% 1,089 $8K
1036F <1% 3,047 $7K
59430 <1% 40 $7K
52332 <1% 103 $7K
93016 <1% 446 $7K
90674 <1% 341 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 488 $7K
99335 <1% 489 $6K
4004F <1% 1,968 $6K
95909 <1% 114 $5K
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder <1% 1,768 $5K
3074F <1% 4,011 $5K
93018 <1% 445 $5K
90680 <1% 833 $5K
3044F <1% 1,697 $4K
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 2,018 $4K
93970 <1% 65 $4K
99442 <1% 250 $4K
3078F <1% 3,112 $4K
93000 <1% 359 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 258 $3K
92551 <1% 410 $3K
99406 <1% 293 $3K
92557 <1% 113 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 213 $3K
99462 <1% 90 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 416 $2K
99217 <1% 51 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 29 $2K
1160F <1% 376 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $2K
4008F <1% 1,627 $2K
G8755 Most recent diastolic blood pressure >= 90 mmhg <1% 857 $2K
92567 <1% 148 $1K
90710 <1% 85 $1K
3079F <1% 2,703 $1K
95886 <1% 43 $1K
90677 <1% 307 $1K
90756 <1% 54 $1K
99173 <1% 414 $1K
4010F <1% 550 $1K
36415 Collection of venous blood by venipuncture <1% 288 $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) <1% 156 $884.66
90688 <1% 38 $698.95
96127 <1% 215 $608.87
87210 <1% 148 $603.34
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 14 $552.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 23 $547.45
99443 <1% 29 $535.55
G9744 Patient not eligible due to active diagnosis of hypertension <1% 122 $496.68
1125F <1% 99 $486.95
4086F <1% 1,069 $465.90
3011F <1% 201 $465.22
76937 <1% 62 $416.68
93244 <1% 24 $405.23
90633 <1% 282 $397.88
1090F <1% 84 $385.44
3077F <1% 808 $374.16
95816 <1% 13 $333.82
G8482 Influenza immunization administered or previously received <1% 59 $330.60
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 234 $311.27
3080F <1% 208 $261.01
90661 <1% 31 $258.87
3075F <1% 1,061 $210.62
99484 <1% 28 $200.30
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 510 $176.49
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg <1% 919 $175.25
90656 <1% 57 $156.45
83655 <1% 14 $154.25
99441 <1% 12 $151.46
94664 <1% 16 $150.66
99233 Hospital visit by a doctor, follow-up day (complex) <1% 18 $82.57
99490 Ccm add 20min <1% 12 $81.43
94760 <1% 139 $53.27
3045F <1% 12 $52.90
85018 <1% 13 $28.02
96161 <1% 15 $25.80
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg <1% 17 $0.58
4013F <1% 638 $0.25
3048F <1% 76 $0.12
1124F <1% 20 $0.07
G8967 Fda approved oral anticoagulant is prescribed <1% 16 $0.02
2010F <1% 397 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 117 $0.01
0502F 0% 254 $0.00
90715 0% 20 $0.00
G9796 Patient is currently on a high intensity statin therapy 0% 15 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 14 $0.00
3725F 0% 41 $0.00
3288F 0% 55 $0.00
90734 0% 49 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 48 $0.00
1126F 0% 31 $0.00
1101F 0% 56 $0.00
G9189 Beta-blocker therapy prescribed or currently being taken 0% 49 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 98 $0.00
1111F 0% 14 $0.00
99000 0% 20 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 16 $0.00
0513F 0% 12 $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 officialMCKEEN, LINDA (PROVIDER SUPPORT AND CREDENTIALING)