Physician
WV Primary Care INC
WV Primary Care INC was paid $756K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoWV PRIMARY CARE INC
CROSS LANES, WV 25313
CROSS LANES, WV 25313
33aNPI1821317330assigned 05/24/2010
33bProvider typeInternal Medicine Physician
28Total paid$756K
24GClaims22,771
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#12 of 96
Median peer was paid$24K
This provider vs. median32×
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 | 3,358 | $131K | |
| 2019 | 3,002 | $83K | |
| 2020 | 3,378 | $119K | |
| 2021 | 3,594 | $114K | |
| 2022 | 4,648 | $136K | |
| 2023 | 3,123 | $106K | |
| 2024incomplete | 1,668 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 10,736 | 8,982 | $510K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 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 | 3.3% | 3,302 | 2,764 | $25K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 2.1% | 2,132 | 1,784 | $16K |
| 3288F | <1% | 276 | 244 | $6K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 339 | 309 | $6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 336 | 308 | $6K |
| 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% | 45 | 45 | $4K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 345 | 286 | $2K |
| 99442 | <1% | 12 | 12 | $83.63 | |
| 81003 | <1% | 14 | 12 | $67.83 | |
| 1090F | 0% | 141 | 124 | $0.00 |
8 more codes
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 officialSHETH, ASHISH (PRESIDENT)