Physician
Montgomery Medcorp, INC.
Montgomery Medcorp, INC. was paid $503K by Medicaid between Jan 2018 and Dec 2020, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoMONTGOMERY MEDCORP, INC.
MONTGOMERY, WV 25136
MONTGOMERY, WV 25136
33aNPI1619061702assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$503K
24GClaims28,560
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#26 of 57
Median peer was paid$409K
This provider vs. median1.2×
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 | 8,054 | $246K | |
| 2019 | 4,548 | $121K | |
| 2020 | 15,958 | $136K |
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 | 25% | 3,422 | 2,280 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,780 | 2,428 | $107K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.4% | 4,219 | 2,763 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 830 | 635 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 943 | 619 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 2,839 | 1,986 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 810 | 509 | $25K |
| 92552 | 4.9% | 2,142 | 1,433 | $25K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 1,380 | 916 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 598 | 391 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 742 | 597 | $14K |
| 99173 | 1.6% | 1,181 | 789 | $8K |
23 more codes
| 90686 | 1.3% | 1,554 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 277 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 264 | $4K |
| 90670 | <1% | 573 | $3K | |
| 90648 | <1% | 131 | $2K | |
| 96161 | <1% | 304 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 141 | $2K |
| 90723 | <1% | 341 | $1K | |
| 81002 | <1% | 142 | $1K | |
| 90633 | <1% | 168 | $1K | |
| 90656 | <1% | 97 | $1K | |
| 90473 | <1% | 161 | $1K | |
| 69210 | <1% | 32 | $1K | |
| 90680 | <1% | 328 | $960.44 | |
| 90647 | <1% | 374 | $272.24 | |
| 90734 | <1% | 231 | $250.90 | |
| 90651 | <1% | 187 | $195.67 | |
| 96160 | <1% | 180 | $55.88 | |
| 81025 | <1% | 31 | $13.95 | |
| 90715 | <1% | 62 | $12.89 | |
| 99384 | 0% | 40 | $0.00 | |
| 90620 | 0% | 38 | $0.00 | |
| 90700 | 0% | 18 | $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 officialSIZEMORE, ANGELA (BUSINESS OFFICE DIRECTOR)