NP / PA
Summersville Pediatrics, INC.
Summersville Pediatrics, INC. was paid $1.27M by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoSUMMERSVILLE PEDIATRICS, INC.
WEBSTER SPRINGS, WV 26288
WEBSTER SPRINGS, WV 26288
33aNPI1700270436assigned 03/19/2015
33bProvider typePediatric Clinical Nurse Specialist
28Total paid$1.27M
24GClaims24,850
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
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 | 984 | $40K | |
| 2019 | 657 | $25K | |
| 2020 | 2,642 | $135K | |
| 2021 | 4,956 | $247K | |
| 2022 | 6,520 | $307K | |
| 2023 | 5,475 | $302K | |
| 2024incomplete | 3,616 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 10,537 | 7,333 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 6,593 | 5,014 | $54K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,764 | 1,286 | $7K |
| 92551 | <1% | 1,496 | 1,269 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 210 | 183 | $4K |
| 87430 | <1% | 282 | 231 | $1K | |
| 90686 | <1% | 251 | 211 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 253 | 217 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 44 | 43 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 478 | 404 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 513 | 386 | $815.23 |
| 90672 | <1% | 123 | 95 | $571.29 |
12 more codes
| 96127 | <1% | 395 | $494.47 | |
| 96160 | <1% | 399 | $494.47 | |
| 90651 | 0% | 91 | $0.00 | |
| 0072A | 0% | 16 | $0.00 | |
| 87807 | 0% | 78 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 21 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 278 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 905 | $0.00 |
| 90734 | 0% | 57 | $0.00 | |
| 90670 | 0% | 16 | $0.00 | |
| 90715 | 0% | 31 | $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 officialMCCLUNG, JOYCE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summersville Pediatrics INC. | Summersville, WV | $12.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.