Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospitalist Medicine Physicians of West Virginia, PLLC

Hospitalist Medicine Physicians of West Virginia, PLLC was paid $4.10M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoHOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC
WHEELING, WV 26003
33aNPI1649575101assigned 01/14/2011
28Total paid$4.10M
24GClaims67,625
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#3 of 96
Median peer was paid$24K
This provider vs. median171×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20189,986$815K
20196,471$591K
202010,145$735K
202110,332$428K
202212,552$683K
202313,124$597K
2024incomplete5,015$247K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 42% 29,215 10,056 $1.72M
99223 Prolong inpt eval add15 m 23% 9,595 7,382 $922K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 13,334 4,105 $523K
99239 Hospital discharge day management, more than 30 minutes 11% 8,125 6,422 $444K
99220 7.2% 1,932 1,387 $295K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.0% 736 476 $82K
99217 <1% 738 618 $27K
99222 Initial hospital care, per day, moderate complexity <1% 463 355 $24K
99226 <1% 436 277 $23K
99497 <1% 1,530 1,313 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,307 875 $11K
99238 Hospital discharge day management, 30 minutes or less <1% 83 67 $4K
2 more codes
99225 <1% 102 $4K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 0% 29 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.