Raleigh Lung Clinic Incorporated PC

Raleigh Lung Clinic Incorporated PC was paid $439K by Medicaid between Jan 2018 and Dec 2019, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoRALEIGH LUNG CLINIC INCORPORATED PC
BECKLEY, WV 25801

33aNPI1689808925assigned 05/14/2009

33bProvider typePulmonary Disease Physician

28Total paid$439K

24GClaims5,661

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Pulmonary Disease Physician providers in West Virginia

Rank by total paid#5 of 17

Median peer was paid$210K

This provider vs. median2.1×

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	3,472	$287K
2019	2,189	$152K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	45%	2,415	740	$199K
99223	Prolong inpt eval add15 m	17%	649	617	$74K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	624	264	$61K
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	7.3%	647	611	$32K
99407		3.8%	238	221	$17K
99402		3.5%	296	285	$15K
94060		2.8%	266	261	$12K
94726		2.6%	247	246	$11K
94729		2.5%	233	232	$11K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.0%	32	30	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	14	13	$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 officialHADDADIN, RAMZI (OWNER)