Signify Health Medical Associates PLLC
Signify Health Medical Associates PLLC was paid $11.29M by Medicaid between Jul 2020 and Dec 2024, across 56 billing codes. Its largest line is 99342, — 39% of everything it billed.
33Billing provider infoSIGNIFY HEALTH MEDICAL ASSOCIATES PLLC
CLARKSBURG, WV 26301
CLARKSBURG, WV 26301
33aNPI1750845863assigned 01/23/2019
33bProvider typeCase Manager/Care Coordinator
28Total paid$11.29M
24GClaims197,068
24DCodes billed56
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in West Virginia
Rank by total paid#1 of 5
Median peer was paid$622K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 23,788 | $249K | |
| 2021 | 21,301 | $784K | |
| 2022 | 25,310 | $2.30M | |
| 2023 | 66,028 | $3.71M | |
| 2024incomplete | 60,641 | $4.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99342 | 39% | 48,957 | 44,726 | $4.40M | |
| 99344 | 20% | 24,296 | 19,612 | $2.26M | |
| 99348 | 19% | 11,090 | 8,825 | $2.19M | |
| 99343 | 17% | 16,550 | 13,440 | $1.87M | |
| 99349 | 3.4% | 10,424 | 9,190 | $386K | |
| 93922 | <1% | 9,088 | 8,804 | $43K | |
| 96160 | <1% | 107 | 107 | $32K | |
| 92002 | <1% | 392 | 328 | $26K | |
| 92250 | <1% | 618 | 503 | $24K | |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 3,727 | 3,273 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,367 | 2,066 | $17K |
| 92227 | <1% | 461 | 229 | $6K |
44 more codes
| 82565 | <1% | 16 | $3K | |
| 82044 | <1% | 236 | $2K | |
| 3074F | <1% | 3,930 | $315.00 | |
| 2025F | <1% | 242 | $315.00 | |
| 84999 | <1% | 15 | $300.00 | |
| 82274 | <1% | 406 | $55.01 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 148 | $55.00 |
| 4010F | 0% | 830 | $0.00 | |
| 1126F | 0% | 1,474 | $0.00 | |
| 1170F | 0% | 9,785 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 1,581 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 983 | $0.00 |
| 1125F | 0% | 3,800 | $0.00 | |
| 3080F | 0% | 612 | $0.00 | |
| 3079F | 0% | 1,708 | $0.00 | |
| 3075F | 0% | 944 | $0.00 | |
| 3008F | 0% | 1,056 | $0.00 | |
| 3044F | 0% | 136 | $0.00 | |
| 94010 | 0% | 1,831 | $0.00 | |
| 1101F | 0% | 109 | $0.00 | |
| 3072F | 0% | 521 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 162 | $0.00 |
| 1220F | 0% | 234 | $0.00 | |
| 3027F | 0% | 95 | $0.00 | |
| 1111F | 0% | 100 | $0.00 | |
| 1160F | 0% | 7,426 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,716 | $0.00 |
| 3078F | 0% | 3,813 | $0.00 | |
| 1159F | 0% | 7,438 | $0.00 | |
| 1158F | 0% | 2,916 | $0.00 | |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 923 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 197 | $0.00 |
| 3077F | 0% | 1,125 | $0.00 | |
| 99499 | 0% | 6,297 | $0.00 | |
| 3016F | 0% | 1,371 | $0.00 | |
| 1090F | 0% | 715 | $0.00 | |
| 2022F | 0% | 521 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 799 | $0.00 |
| 3288F | 0% | 358 | $0.00 | |
| 2024F | 0% | 521 | $0.00 | |
| 3725F | 0% | 234 | $0.00 | |
| 2026F | 0% | 521 | $0.00 | |
| 1100F | 0% | 92 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 54 | $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 officialFAIRCHILD, DAVID (PRESIDENT AND CHIEF MEDICAL OFFICE)
| Provider | Location | Paid |
|---|---|---|
| Signify Health Medical Associates of Kansas LLC | Wichita, KS | $190K |
| Signify Health Medical Associates of California, PC | San Francisco, CA | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.