Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMERSVILLE PEDIATRICS, INC.

NPI: 1700270436 · WEBSTER SPRINGS, WV 26288 · Pediatric Clinical Nurse Specialist · NPI assigned 03/19/2015

$1.27M
Total Medicaid Paid
24,850
Total Claims
18,530
Beneficiaries
24
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCLUNG, JOYCE (OFFICE MANAGER)
NPI Enumeration Date03/19/2015

Related Entities

Other providers sharing the same authorized official: MCCLUNG, JOYCE

ProviderCityStateTotal Paid
SUMMERSVILLE PEDIATRICS INC. SUMMERSVILLE WV $12.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 984 $40K
2019 657 $25K
2020 2,642 $135K
2021 4,956 $247K
2022 6,520 $307K
2023 5,475 $302K
2024 3,616 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,537 7,333 $1.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,593 5,014 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,764 1,286 $7K
92551 1,496 1,269 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 210 183 $4K
87430 282 231 $1K
90686 251 211 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 253 217 $1K
90472 Immunization administration, each additional vaccine (list separately) 44 43 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 478 404 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 513 386 $815.23
90672 123 95 $571.29
96127 395 343 $494.47
96160 399 346 $494.47
90651 91 71 $0.00
0072A 16 12 $0.00
87807 78 60 $0.00
90620 19 13 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 278 243 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 905 686 $0.00
90734 57 41 $0.00
90670 16 12 $0.00
90715 31 19 $0.00