Physician
Caldwell, Eston
Caldwell, Eston was paid $51K by Medicaid between Jan 2018 and Feb 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoCALDWELL, ESTON
BAKER, WV 26801
BAKER, WV 26801
33aNPI1669403226assigned 07/05/2006
33bProvider typePediatrics Physician
28Total paid$51K
24GClaims1,075
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#38 of 57
Median peer was paid$409K
This provider vs. median0.1×
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 | 1,038 | $49K | |
| 2019 | 37 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 595 | 546 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 115 | 115 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 52 | 52 | $4K |
| 99050 | 3.7% | 151 | 149 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 17 | 17 | $1K |
| 90670 | 2.0% | 91 | 91 | $1K | |
| 90680 | <1% | 29 | 29 | $319.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $170.46 |
| 90648 | <1% | 13 | 13 | $146.85 |
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.