Clinic
Wheeling Health Right, INC.
Wheeling Health Right, INC. was paid $532K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoWHEELING HEALTH RIGHT, INC.
WHEELING, WV 26003
WHEELING, WV 26003
33aNPI1801922596assigned 02/26/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$532K
24GClaims11,666
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in West Virginia
Rank by total paid#5 of 23
Median peer was paid$128K
This provider vs. median4.2×
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 | 917 | $68K | |
| 2019 | 367 | $23K | |
| 2020 | 1,297 | $69K | |
| 2021 | 1,549 | $81K | |
| 2022 | 2,417 | $108K | |
| 2023 | 3,285 | $119K | |
| 2024incomplete | 1,834 | $65K |
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 | 38% | 3,423 | 3,065 | $202K |
| 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% | 2,301 | 2,040 | $194K |
| D0140 | Limited oral evaluation - problem focused | 6.5% | 977 | 796 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 295 | 54 | $24K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.3% | 235 | 215 | $18K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.9% | 314 | 304 | $15K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 1,462 | 1,344 | $9K |
| 99385 | 1.3% | 85 | 81 | $7K | |
| D0330 | Panoramic radiographic image | 1.3% | 114 | 97 | $7K |
| D1320 | 1.1% | 617 | 508 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 129 | 124 | $5K |
| 90674 | <1% | 83 | 72 | $2K |
12 more codes
| D0274 | Bitewings - four radiographic images | <1% | 63 | $2K |
| 86803 | <1% | 98 | $1K | |
| 87428 | <1% | 43 | $1K | |
| 86703 | <1% | 132 | $1K | |
| 99386 | <1% | 12 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 245 | $910.05 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $555.10 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 60 | $520.50 |
| 81003 | <1% | 12 | $10.55 | |
| D1310 | 0% | 451 | $0.00 | |
| D1330 | 0% | 451 | $0.00 | |
| D0191 | 0% | 16 | $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 officialPHILLIPS, DOLORES (ASSISTANT DIRECTOR)