Richards, John

Richards, John was paid $118K by Medicaid between Jan 2018 and Jan 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoRICHARDS, JOHN
CHARLESTON, WV 25302

33aNPI1588627970assigned 04/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$118K

24GClaims2,520

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#111 of 202

Median peer was paid$172K

This provider vs. median0.7×

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	498	$28K
2019	197	$10K
2020	320	$17K
2021	509	$22K
2022	485	$24K
2023	495	$18K
2024incomplete	16	$819.26

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	50%	1,268	1,118	$59K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	861	746	$44K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.8%	146	144	$12K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.9%	27	25	$2K
90686		<1%	42	39	$525.71
81002		<1%	109	101	$316.48
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	13	$149.09
81003		<1%	40	39	$67.28
96127		<1%	14	13	$41.86

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.