Family Medicine of Berkeley Springs, INC.

Family Medicine of Berkeley Springs, INC. was paid $86K by Medicaid between Feb 2018 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoFAMILY MEDICINE OF BERKELEY SPRINGS, INC.
BERKELEY SPRINGS, WV 25411

33aNPI1700968351assigned 10/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$86K

24GClaims1,881

24DCodes billed4

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#123 of 202

Median peer was paid$172K

This provider vs. median0.5×

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	410	$20K
2019	120	$5K
2020	353	$15K
2021	390	$16K
2022	257	$13K
2023	208	$11K
2024incomplete	143	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	59%	1,010	710	$51K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	616	486	$30K
99310	Prolong nursin fac eval 15m	5.6%	240	150	$5K
36415	Collection of venous blood by venipuncture	<1%	15	15	$27.90

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 officialBERENS, ANDREW (PRESIDENT/OWNER)