Medicaid Provider Spending

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

WHEELERSBURG MEDICAL ASSOCIATES

NPI: 1922150044 · WHEELERSBURG, OH 45694 · Family Medicine Physician · NPI assigned 01/17/2007

$531K
Total Medicaid Paid
14,924
Total Claims
11,472
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCGINNIS, JAMES (OWNER)
NPI Enumeration Date01/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 312 $2K
2019 2,020 $3K
2020 2,416 $38K
2021 1,876 $75K
2022 2,613 $98K
2023 2,804 $152K
2024 2,883 $163K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,938 6,661 $242K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 816 783 $115K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,576 2,353 $104K
95909 748 388 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 694 493 $18K
95926 280 209 $6K
95925 194 155 $6K
93923 40 12 $2K
95923 40 12 $881.82
96004 203 56 $794.00
95924 20 12 $737.91
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 26 $691.03
96130 47 47 $611.19
96132 47 47 $282.87
96127 75 60 $187.16
96138 47 47 $49.82
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 30 30 $28.74
80305 19 19 $14.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 46 37 $2.09
96103 18 13 $0.00
93040 20 12 $0.00