Mountain State Diabetes PLLC

Mountain State Diabetes PLLC was paid $196K by Medicaid between Jun 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoMOUNTAIN STATE DIABETES PLLC
PARKERSBURG, WV 26101

33aNPI1548892532assigned 02/07/2020

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$196K

24GClaims3,985

24DCodes billed5

24AFirst – last monthJun 2020 – Nov 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in West Virginia

Rank by total paid#3 of 9

Median peer was paid$56K

This provider vs. median3.5×

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
2020	204	$7K
2021	641	$25K
2022	972	$48K
2023	1,298	$65K
2024incomplete	870	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	3,741	3,043	$186K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.0%	150	118	$8K
99205	Prolong outpt/office vis	<1%	15	13	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	48	43	$229.53
95251		<1%	31	26	$171.96

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 officialPICKERING, DAVID (OWNER)