Foot and Ankle Clinic of the Virginias INC
Foot and Ankle Clinic of the Virginias INC was paid $5.49M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 24% of everything it billed.
33Billing provider infoFOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1740227909assigned 05/31/2006
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$5.49M
24GClaims119,275
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in West Virginia
Rank by total paid#1 of 13
Median peer was paid$14K
This provider vs. median380×
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 | 13,720 | $520K | |
| 2019 | 8,682 | $313K | |
| 2020 | 13,998 | $702K | |
| 2021 | 16,139 | $869K | |
| 2022 | 21,852 | $1.10M | |
| 2023 | 23,624 | $1.09M | |
| 2024incomplete | 21,260 | $900K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 24% | 5,461 | 2,928 | $1.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 23,854 | 20,288 | $922K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 8,262 | 7,532 | $505K |
| 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 | 5.8% | 5,220 | 4,242 | $316K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 4.7% | 2,251 | 1,141 | $261K |
| 11720 | 4.1% | 21,446 | 18,771 | $225K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 7,369 | 6,686 | $185K |
| 20550 | 2.5% | 4,682 | 2,898 | $139K | |
| 11750 | 2.5% | 1,753 | 1,083 | $136K | |
| 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 | 2.3% | 1,362 | 1,166 | $128K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 2.0% | 482 | 439 | $110K |
| 11721 | 1.8% | 6,922 | 6,023 | $99K |
34 more codes
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 1.7% | 842 | $93K |
| 11730 | 1.5% | 1,261 | $82K | |
| 36465 | 1.5% | 189 | $81K | |
| 73630 | 1.4% | 4,030 | $77K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 1,857 | $76K |
| 87150 | 1.3% | 327 | $71K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 1.3% | 1,440 | $71K |
| 97597 | <1% | 961 | $54K | |
| 73620 | <1% | 2,446 | $53K | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 958 | $52K |
| 11056 | <1% | 1,534 | $51K | |
| Q4101 | Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) | <1% | 96 | $50K |
| 17110 | <1% | 682 | $44K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 4,305 | $35K |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 140 | $31K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 232 | $31K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,820 | $29K |
| 15275 | <1% | 583 | $25K | |
| 87481 | <1% | 570 | $23K | |
| 93970 | <1% | 274 | $22K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 385 | $22K |
| 11719 | <1% | 2,162 | $13K | |
| 99223 | Prolong inpt eval add15 m | <1% | 93 | $9K |
| 73610 | <1% | 395 | $8K | |
| 11055 | <1% | 248 | $7K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 131 | $4K |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | <1% | 307 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,424 | $3K |
| 87081 | <1% | 320 | $2K | |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 35 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 22 | $639.08 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 19 | $77.34 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 25 | $71.18 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 98 | $28.87 |
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 officialDONATELLI, TIMOTHY (OWNER)