Clinic
Monongalia Pediatric & Youth Associates, INC.
Monongalia Pediatric & Youth Associates, INC. was paid $1.32M by Medicaid between Jan 2018 and Mar 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMONONGALIA PEDIATRIC & YOUTH ASSOCIATES, INC.
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
33aNPI1538268156assigned 09/21/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$1.32M
24GClaims34,303
24DCodes billed31
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in West Virginia
Rank by total paid#3 of 23
Median peer was paid$128K
This provider vs. median10×
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 | 6,361 | $286K | |
| 2019 | 3,242 | $124K | |
| 2020 | 7,982 | $294K | |
| 2021 | 6,523 | $225K | |
| 2022 | 8,247 | $323K | |
| 2023 | 1,948 | $72K |
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 | 36% | 8,390 | 7,095 | $479K |
| 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 | 9.7% | 1,472 | 1,346 | $129K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 1,574 | 1,482 | $121K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 1,396 | 1,294 | $95K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.7% | 5,383 | 5,031 | $88K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.6% | 4,476 | 4,171 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 800 | 753 | $61K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.9% | 566 | 512 | $51K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 2,388 | 2,237 | $49K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.7% | 816 | 756 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 380 | 367 | $35K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.2% | 852 | 803 | $30K |
19 more codes
| 87634 | 1.3% | 258 | $17K | |
| 90686 | <1% | 1,610 | $9K | |
| 90474 | <1% | 540 | $9K | |
| 90670 | <1% | 1,097 | $7K | |
| 90698 | <1% | 666 | $6K | |
| 90680 | <1% | 531 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 139 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $5K |
| 90744 | <1% | 311 | $3K | |
| 90633 | <1% | 283 | $2K | |
| 87807 | <1% | 41 | $2K | |
| 90734 | <1% | 52 | $722.93 | |
| 90651 | <1% | 68 | $642.03 | |
| 90648 | <1% | 12 | $424.46 | |
| 90685 | <1% | 16 | $345.94 | |
| 90710 | 0% | 17 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90619 | 0% | 20 | $0.00 | |
| 90696 | 0% | 15 | $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 officialLI, LAP-YANG (OWNER)