Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rheumatology Group, PLLC

Rheumatology Group, PLLC was paid $301K by Medicaid between Jan 2018 and Jun 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoRHEUMATOLOGY GROUP, PLLC
SOUTH CHARLESTON, WV 25309
33aNPI1831536507assigned 06/04/2013
33bProvider typeRheumatology Physician
28Total paid$301K
24GClaims7,268
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2023
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,899$90K
20191,227$45K
20201,375$52K
20211,189$44K
20221,087$48K
2023491$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 3,633 3,211 $168K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,584 1,439 $68K
36415 Collection of venous blood by venipuncture 12% 798 712 $37K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5.4% 989 944 $16K
20610 2.5% 204 135 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 43 40 $3K
99205 Prolong outpt/office vis <1% 17 12 $2K

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 officialSABATINO, KAREN (OFFICE MANAGER)