Physician
Wheeling Hospital INC
Wheeling Hospital INC was paid $8.49M by Medicaid between Dec 2021 and Dec 2024, across 117 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoWHEELING HOSPITAL INC
WHEELING, WV 26003
WHEELING, WV 26003
33aNPI1548923923assigned 10/21/2021
33bProvider typeCardiovascular Disease Physician
28Total paid$8.49M
24GClaims205,236
24DCodes billed117
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in West Virginia
Rank by total paid#1 of 31
Median peer was paid$64K
This provider vs. median132×
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 | |
|---|---|---|---|
| 2021 | 490 | $11K | |
| 2022 | 62,917 | $2.19M | |
| 2023 | 69,900 | $2.92M | |
| 2024incomplete | 71,929 | $3.37M |
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 | 26% | 53,056 | 42,015 | $2.21M |
| 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 | 19% | 28,783 | 24,017 | $1.63M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.2% | 5,940 | 5,131 | $439K |
| 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 | 4.2% | 4,383 | 3,575 | $353K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 6,842 | 5,773 | $352K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 6,227 | 1,870 | $267K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 4,483 | 3,736 | $246K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 2,073 | 1,260 | $213K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 3,440 | 2,963 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 4,533 | 3,754 | $197K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.0% | 4,981 | 3,814 | $167K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 2,036 | 1,432 | $167K |
105 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.9% | 2,135 | $159K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 2,060 | $141K |
| 99285 | Emergency room visit (most serious) | 1.4% | 990 | $120K |
| 99283 | Emergency room visit (moderate) | 1.4% | 2,401 | $117K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,230 | $114K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 1,585 | $98K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,133 | $79K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 494 | $69K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,311 | $65K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,517 | $65K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,964 | $63K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 870 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,350 | $60K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 948 | $58K |
| 99205 | Prolong outpt/office vis | <1% | 446 | $51K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 282 | $49K |
| 99223 | Prolong inpt eval add15 m | <1% | 472 | $49K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 62 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,123 | $43K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 255 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,740 | $36K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,211 | $35K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 417 | $31K |
| 93000 | <1% | 2,642 | $27K | |
| 92551 | <1% | 3,560 | $26K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 355 | $23K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 229 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,669 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,196 | $21K |
| 88342 | <1% | 742 | $19K | |
| 99385 | <1% | 326 | $17K | |
| 90671 | <1% | 302 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,851 | $14K |
| 93015 | <1% | 294 | $13K | |
| 11721 | <1% | 1,328 | $12K | |
| 59025 | Fetal non-stress test | <1% | 596 | $11K |
| 20610 | <1% | 327 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,118 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 226 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 537 | $8K |
| 88141 | <1% | 437 | $6K | |
| 99221 | <1% | 117 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 62 | $6K |
| 99384 | <1% | 151 | $6K | |
| 88307 | <1% | 94 | $6K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 202 | $6K |
| 99386 | <1% | 82 | $6K | |
| 90686 | <1% | 964 | $5K | |
| 99383 | <1% | 159 | $5K | |
| 93971 | <1% | 194 | $5K | |
| 93016 | <1% | 370 | $4K | |
| 95886 | <1% | 126 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 324 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 118 | $4K |
| 77427 | <1% | 54 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 480 | $3K |
| 93018 | <1% | 365 | $3K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 131 | $3K |
| 59430 | <1% | 14 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $3K |
| 90715 | <1% | 182 | $2K | |
| 99173 | <1% | 904 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 118 | $2K |
| 99307 | <1% | 139 | $2K | |
| 93970 | <1% | 62 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 157 | $2K |
| 99217 | <1% | 33 | $1K | |
| 90670 | <1% | 892 | $1K | |
| 99382 | <1% | 34 | $1K | |
| 90648 | <1% | 1,246 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 113 | $1K |
| 88304 | <1% | 101 | $996.14 | |
| 90474 | <1% | 155 | $905.41 | |
| 99460 | <1% | 14 | $639.47 | |
| 81002 | <1% | 280 | $609.50 | |
| 96127 | <1% | 169 | $577.53 | |
| 90707 | <1% | 176 | $547.20 | |
| 93880 | <1% | 28 | $515.83 | |
| 20550 | <1% | 13 | $513.78 | |
| 90651 | <1% | 388 | $499.81 | |
| 90656 | <1% | 157 | $483.40 | |
| 81025 | <1% | 57 | $384.78 | |
| 90716 | <1% | 179 | $352.41 | |
| 90688 | <1% | 152 | $301.66 | |
| 73630 | <1% | 19 | $267.49 | |
| 93248 | <1% | 13 | $235.86 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 351 | $224.31 |
| 90723 | <1% | 720 | $216.84 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 100 | $189.29 |
| 90461 | <1% | 803 | $164.52 | |
| 97803 | <1% | 31 | $163.03 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 164 | $129.74 |
| 99406 | <1% | 16 | $126.77 | |
| 90620 | <1% | 141 | $117.14 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 527 | $101.87 |
| 90714 | <1% | 31 | $62.75 | |
| 90680 | <1% | 576 | $42.00 | |
| 90633 | <1% | 463 | $25.50 | |
| 90696 | 0% | 184 | $0.00 | |
| 3044F | 0% | 27 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 90710 | 0% | 218 | $0.00 | |
| 90734 | 0% | 375 | $0.00 | |
| 90700 | 0% | 172 | $0.00 | |
| 3051F | 0% | 14 | $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 officialHARRISON, DOUGLASS (PRESIDENT & CEO)