Physician
Wheeling Hospital, INC.
Wheeling Hospital, INC. was paid $247K by Medicaid between Jan 2018 and Apr 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoWHEELING HOSPITAL, INC.
WHEELING, WV 26003
WHEELING, WV 26003
33aNPI1831373497assigned 12/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$247K
24GClaims10,139
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#82 of 202
Median peer was paid$172K
This provider vs. median1.4×
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 | 4,250 | $161K | |
| 2019 | 2,500 | $46K | |
| 2020 | 1,500 | $21K | |
| 2021 | 1,564 | $12K | |
| 2022 | 325 | $7K |
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 | 53% | 3,359 | 2,766 | $130K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 8.1% | 1,558 | 1,240 | $20K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.7% | 147 | 103 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.6% | 935 | 896 | $16K |
| 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 | 6.2% | 888 | 726 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 143 | 139 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 155 | 142 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 231 | 220 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 77 | 75 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 1,184 | 936 | $3K |
| 90686 | 1.3% | 356 | 343 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 266 | 257 | $3K |
11 more codes
| 99307 | <1% | 303 | $2K | |
| 92551 | <1% | 101 | $2K | |
| 11721 | <1% | 233 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 81002 | <1% | 14 | $800.45 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 31 | $780.13 |
| 90648 | <1% | 54 | $714.17 | |
| 99173 | <1% | 51 | $348.74 | |
| 90734 | <1% | 15 | $161.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $104.20 |
| 90670 | <1% | 12 | $68.64 |
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 officialVIOLI, RONALD (CEO)
Parent organizationWHEELING HOSPITAL, INC.