Randall J. Hill, M.D., P.L.L.C.
Randall J. Hill, M.D., P.L.L.C. was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoRANDALL J. HILL, M.D., P.L.L.C.
CHARLESTON, WV 25302
CHARLESTON, WV 25302
33aNPI1821029547assigned 07/05/2006
33bProvider typeSpecialist
28Total paid$1.90M
24GClaims43,885
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#10 of 71
Median peer was paid$232K
This provider vs. median8.2×
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 | 3,190 | $206K | |
| 2019 | 2,204 | $143K | |
| 2020 | 6,938 | $339K | |
| 2021 | 7,873 | $304K | |
| 2022 | 7,433 | $288K | |
| 2023 | 8,036 | $319K | |
| 2024incomplete | 8,211 | $304K |
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% | 13,165 | 7,548 | $731K |
| 76819 | Fetal biophysical profile; without non-stress testing | 17% | 5,969 | 1,669 | $319K |
| 76820 | 11% | 6,372 | 1,893 | $216K | |
| 93975 | 7.7% | 944 | 867 | $147K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.3% | 1,535 | 1,315 | $100K |
| 81002 | 4.9% | 10,262 | 4,850 | $94K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.4% | 1,582 | 1,080 | $84K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 844 | 806 | $66K |
| 76830 | Ultrasound, transvaginal | 3.0% | 767 | 688 | $58K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.0% | 436 | 345 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 162 | 97 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 146 | 123 | $11K |
14 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 92 | $10K |
| 59430 | <1% | 38 | $9K | |
| 3008F | <1% | 162 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 43 | $3K |
| 76821 | <1% | 39 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 65 | $2K |
| 81025 | <1% | 261 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $2K |
| 76801 | <1% | 15 | $1K | |
| 81003 | <1% | 61 | $883.25 | |
| 59025 | Fetal non-stress test | <1% | 41 | $788.31 |
| 0501F | 0% | 814 | $0.00 | |
| 99459 | 0% | 24 | $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 officialHILL, RANDALL (PRESIDENT)