Whitley, Herbert

Whitley, Herbert was paid $13K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 52% of everything it billed.

33Billing provider infoWHITLEY, HERBERT
ROANOKE, VA 24013

33aNPI1659350908assigned 01/14/2006

33bProvider typePediatric Cardiology Physician

28Total paid$13K

24GClaims292

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatric Cardiology Physician providers in Virginia

Rank by total paid#10 of 27

Median peer was paid$10K

This provider vs. median1.4×

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	292	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	52%	51	49	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	52	52	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	9.4%	149	131	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.6%	12	12	$1K
93000		3.4%	28	28	$451.39

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.