Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Charles E Porterfield DO

Charles E Porterfield DO was paid $369K by Medicaid between Jan 2018 and Dec 2022, across 18 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.

33Billing provider infoCHARLES E PORTERFIELD DO
BECKLEY, WV 25801
33aNPI1720108582assigned 03/29/2007
28Total paid$369K
24GClaims12,128
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers

Next to other Pulmonary Disease Physician providers in West Virginia

Rank by total paid#6 of 17
Median peer was paid$210K
This provider vs. median1.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,833$138K
20192,478$93K
20202,006$41K
20212,275$59K
20222,536$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 59% 6,145 1,611 $218K
99222 Initial hospital care, per day, moderate complexity 19% 1,183 1,128 $69K
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 9.3% 927 857 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.3% 753 712 $27K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 105 104 $8K
94060 1.1% 136 133 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 51 49 $3K
94726 <1% 69 68 $2K
94729 <1% 68 67 $2K
99221 <1% 60 55 $915.07
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 738 679 $371.89
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 962 894 $360.13
6 more codes
99443 <1% 24 $218.95
G8752 Most recent systolic blood pressure < 140 mmhg <1% 419 $215.07
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 335 $156.82
G9459 Currently a tobacco non-user 0% 127 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 13 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 13 $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 officialPORTERFIELD, CHARLES (PHYSICIAN)