Physician
Mid Ohio Valley Medicine & Pediatrics PLLC
Mid Ohio Valley Medicine & Pediatrics PLLC was paid $901K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoMID OHIO VALLEY MEDICINE & PEDIATRICS PLLC
PARKERSBURG, WV 26101
PARKERSBURG, WV 26101
33aNPI1558674002assigned 07/26/2010
33bProvider typePediatrics Physician
28Total paid$901K
24GClaims20,071
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#18 of 57
Median peer was paid$409K
This provider vs. median2.2×
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 | 2,632 | $128K | |
| 2019 | 1,708 | $72K | |
| 2020 | 4,082 | $180K | |
| 2021 | 3,474 | $151K | |
| 2022 | 4,632 | $214K | |
| 2023 | 2,753 | $121K | |
| 2024incomplete | 790 | $35K |
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 | 45% | 6,891 | 6,139 | $404K |
| 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 | 24% | 3,167 | 2,620 | $212K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 934 | 876 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 629 | 590 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 2,511 | 2,353 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 398 | 378 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 2,018 | 1,867 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 1,182 | 1,076 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 429 | 403 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 137 | 125 | $14K |
| 90686 | <1% | 610 | 581 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $2K |
11 more codes
| 90698 | <1% | 255 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $1K |
| 90670 | <1% | 401 | $1K | |
| 90473 | <1% | 64 | $1K | |
| 90474 | <1% | 50 | $418.25 | |
| 90680 | <1% | 130 | $158.50 | |
| 90744 | 0% | 16 | $0.00 | |
| 90656 | 0% | 15 | $0.00 | |
| 90685 | 0% | 143 | $0.00 | |
| 90710 | 0% | 33 | $0.00 | |
| 90633 | 0% | 27 | $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 officialTOMLINSON, WILLIAM (OWNTER)
| Provider | Location | Paid |
|---|---|---|
| Blue Ridge Radiation Oncology PA | Anderson, SC | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.