Physician
Thomas A. Durnell, MD INC
Thomas A. Durnell, MD INC was paid $212K by Medicaid between Jan 2018 and Dec 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoTHOMAS A. DURNELL, MD INC
PARKERSBURG, WV 26101
PARKERSBURG, WV 26101
33aNPI1679740385assigned 05/12/2008
33bProvider typeObstetrics & Gynecology Physician
28Total paid$212K
24GClaims2,414
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in West Virginia
Rank by total paid#16 of 40
Median peer was paid$84K
This provider vs. median2.5×
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 | 893 | $77K | |
| 2019 | 369 | $36K | |
| 2020 | 1,152 | $99K |
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 | 63% | 1,685 | 1,193 | $133K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 15% | 298 | 261 | $31K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 200 | 182 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.5% | 171 | 169 | $18K |
| 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 | 1.0% | 34 | 24 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 12 | 12 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | 12 | $1K |
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 officialDURNELL, THOMAS (OWNER)