Burnsville Medical Center PLLC

Burnsville Medical Center PLLC was paid $315K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.

33Billing provider infoBURNSVILLE MEDICAL CENTER PLLC
BURNSVILLE, WV 26335

33aNPI1619090743assigned 04/06/2007

33bProvider typeInternal Medicine Physician

28Total paid$315K

24GClaims11,989

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#17 of 96

Median peer was paid$24K

This provider vs. median13×

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	2,216	$64K
2019	1,734	$32K
2020	2,207	$63K
2021	2,092	$56K
2022	1,411	$43K
2023	1,396	$34K
2024incomplete	933	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	88%	5,770	4,079	$276K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.8%	1,989	1,690	$21K
99091		4.0%	1,103	1,082	$12K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	29	27	$2K
99490	Ccm add 20min	<1%	96	96	$896.09
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	<1%	919	810	$890.29
76536		<1%	13	13	$772.55
99454		<1%	66	64	$362.27
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month	0%	1,972	1,925	$0.00
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	0%	32	26	$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 officialKATINY, ANTOINE (OWNER)