Clinic
Next Generation Family Medicine PLLC
Next Generation Family Medicine PLLC was paid $131K by Medicaid between Apr 2022 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoNEXT GENERATION FAMILY MEDICINE PLLC
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1912660754assigned 10/19/2021
33bProvider typeClinic/Center
28Total paid$131K
24GClaims5,021
24DCodes billed8
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in West Virginia
Rank by total paid#15 of 20
Median peer was paid$667K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 1,532 | $39K | |
| 2023 | 1,969 | $52K | |
| 2024incomplete | 1,520 | $40K |
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 | 54% | 1,399 | 1,166 | $70K |
| 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 | 41% | 814 | 685 | $53K |
| 96127 | 2.8% | 1,443 | 1,208 | $4K | |
| 36415 | Collection of venous blood by venipuncture | 2.6% | 652 | 553 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | 13 | $307.26 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | 13 | $240.62 |
| 99404 | 0% | 108 | 81 | $0.00 | |
| 99000 | 0% | 569 | 468 | $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 officialMITCHELL, SHERRY (OFFICE MANAGER)