Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Terra Alta › NPI 1568411858
Physician

Lewis, Roger

Lewis, Roger was paid $196K by Medicaid between Jan 2018 and Oct 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoLEWIS, ROGER
TERRA ALTA, WV 26764
33aNPI1568411858assigned 05/06/2006
28Total paid$196K
24GClaims7,027
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#92 of 202
Median peer was paid$172K
This provider vs. median1.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018740$29K
2019632$21K
2020911$27K
20211,326$28K
20221,302$36K
20231,200$35K
2024incomplete916$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 78% 3,106 2,615 $152K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.0% 357 313 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4.9% 945 838 $10K
99308 Subsequent nursing facility care, per day, straightforward 4.5% 880 796 $9K
90688 1.6% 171 150 $3K
36415 Collection of venous blood by venipuncture 1.4% 788 716 $3K
G0008 Administration of influenza virus vaccine <1% 62 58 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 143 123 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 20 17 $768.91
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 43 39 $368.18
0013A <1% 42 42 $320.00
91322 <1% 21 21 $291.84
12 more codes
0124A <1% 37 $240.00
0003A <1% 24 $200.00
0064A <1% 34 $200.00
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% 121 $174.12
90480 <1% 31 $120.00
99306 Prolong nursin fac eval 15m <1% 15 $119.93
G8482 Influenza immunization administered or previously received <1% 48 $87.24
91300 <1% 16 $60.91
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% 40 $20.79
91312 <1% 37 $0.03
91306 <1% 34 $0.01
90662 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.