Cognitive Medicine Practice PLLC

Cognitive Medicine Practice PLLC was paid $374K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoCOGNITIVE MEDICINE PRACTICE PLLC
WEIRTON, WV 26062

33aNPI1760789093assigned 02/23/2011

33bProvider typePsychiatry Physician

28Total paid$374K

24GClaims7,386

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatry Physician providers in West Virginia

Rank by total paid#16 of 32

Median peer was paid$221K

This provider vs. median1.7×

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	2,049	$112K
2019	901	$42K
2020	1,192	$57K
2021	1,031	$47K
2022	792	$41K
2023	751	$38K
2024incomplete	670	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	3,716	3,021	$167K
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	36%	2,028	1,701	$135K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	14%	861	551	$54K
99222	Initial hospital care, per day, moderate complexity	1.6%	110	99	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	106	39	$4K
99308	Subsequent nursing facility care, per day, straightforward	<1%	337	272	$2K
99205	Prolong outpt/office vis	<1%	14	12	$2K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	30	12	$1K
99443		<1%	111	81	$1K
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	<1%	14	12	$737.32
80305		<1%	17	15	$244.22
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	42	41	$119.09

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 officialAJAYI, RICHARD (OWNER)