Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WV PRIMARY CARE INC

NPI: 1821317330 · CROSS LANES, WV 25313 · Internal Medicine Physician · NPI assigned 05/24/2010

$756K
Total Medicaid Paid
22,771
Total Claims
19,092
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHETH, ASHISH (PRESIDENT)
NPI Enumeration Date05/24/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,358 $131K
2019 3,002 $83K
2020 3,378 $119K
2021 3,594 $114K
2022 4,648 $136K
2023 3,123 $106K
2024 1,668 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,736 8,982 $510K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,769 3,938 $182K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,302 2,764 $25K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,132 1,784 $16K
3288F 276 244 $6K
G0444 Annual depression screening, 5 to 15 minutes 339 309 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 336 308 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 45 $4K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 345 286 $2K
99442 12 12 $83.63
81003 14 12 $67.83
1090F 141 124 $0.00
1158F 14 12 $0.00
1159F 16 13 $0.00
1160F 14 12 $0.00
1170F 192 168 $0.00
1126F 16 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 14 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 42 37 $0.00
1111F 14 13 $0.00