Behavioral
ST. Mary's Medical Management, LLC
ST. Mary's Medical Management, LLC was paid $7.59M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoST. MARY'S MEDICAL MANAGEMENT, LLC
HUNTINGTON, WV 25702
HUNTINGTON, WV 25702
33aNPI1922155217assigned 01/05/2007
33bProvider typePsychologist
28Total paid$7.59M
24GClaims240,970
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in West Virginia
Rank by total paid#5 of 36
Median peer was paid$128K
This provider vs. median59×
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 | 28,008 | $1.17M | |
| 2019 | 17,607 | $646K | |
| 2020 | 32,000 | $947K | |
| 2021 | 33,714 | $1.09M | |
| 2022 | 41,890 | $1.44M | |
| 2023 | 52,208 | $1.26M | |
| 2024incomplete | 35,543 | $1.04M |
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 | 36% | 54,415 | 46,544 | $2.73M |
| 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 | 28% | 41,798 | 37,812 | $2.14M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.0% | 9,188 | 2,674 | $303K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 6,782 | 2,905 | $274K |
| 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 | 3.4% | 3,040 | 2,867 | $261K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 1,853 | 1,663 | $194K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 2,664 | 2,369 | $177K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 2,585 | 2,448 | $175K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 3,671 | 3,397 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 1,055 | 984 | $98K |
| 99205 | Prolong outpt/office vis | 1.2% | 805 | 748 | $94K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 2,002 | 1,913 | $92K |
108 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 880 | $63K |
| 87428 | <1% | 2,071 | $60K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,948 | $55K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,025 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 824 | $51K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 609 | $48K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 734 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 568 | $40K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,597 | $36K |
| 80305 | <1% | 867 | $30K | |
| 76830 | Ultrasound, transvaginal | <1% | 436 | $29K |
| 99221 | <1% | 529 | $27K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,680 | $25K |
| 3008F | <1% | 11,794 | $25K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 279 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,352 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,873 | $21K |
| 90686 | <1% | 1,751 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 218 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,207 | $17K |
| 62323 | <1% | 283 | $16K | |
| 93000 | <1% | 1,601 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 280 | $14K |
| 92551 | <1% | 1,173 | $13K | |
| 93298 | <1% | 579 | $12K | |
| 93296 | <1% | 975 | $12K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 344 | $10K |
| 3074F | <1% | 10,086 | $10K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | $10K |
| 3078F | <1% | 8,942 | $8K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 48 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 382 | $6K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 115 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 86 | $6K |
| 93294 | <1% | 592 | $6K | |
| 81003 | <1% | 1,472 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 403 | $5K |
| 81025 | <1% | 562 | $4K | |
| 96127 | <1% | 1,100 | $4K | |
| 76820 | <1% | 117 | $4K | |
| 90670 | <1% | 392 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 100 | $3K |
| 3079F | <1% | 4,179 | $3K | |
| 4040F | <1% | 333 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 88 | $3K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 318 | $3K |
| 1220F | <1% | 7,825 | $2K | |
| 93297 | <1% | 284 | $2K | |
| 90677 | <1% | 53 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 276 | $2K |
| 1036F | <1% | 143 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 51 | $2K |
| 3080F | <1% | 1,413 | $2K | |
| 64493 | <1% | 22 | $2K | |
| 20553 | <1% | 45 | $1K | |
| 64494 | <1% | 17 | $1K | |
| 64495 | <1% | 17 | $1K | |
| 87807 | <1% | 112 | $1K | |
| 99219 | <1% | 33 | $1K | |
| 1123F | <1% | 140 | $1K | |
| 99406 | <1% | 83 | $1K | |
| 95910 | <1% | 15 | $1K | |
| 95886 | <1% | 15 | $1K | |
| 3077F | <1% | 2,586 | $1K | |
| 90715 | <1% | 51 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 71 | $958.47 |
| 3075F | <1% | 1,923 | $882.94 | |
| 3044F | <1% | 180 | $749.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 115 | $714.80 |
| 90647 | <1% | 213 | $579.04 | |
| 99220 | <1% | 13 | $504.15 | |
| 90474 | <1% | 13 | $486.58 | |
| 99443 | <1% | 37 | $475.95 | |
| 90680 | <1% | 13 | $460.30 | |
| 95819 | <1% | 17 | $456.95 | |
| 90656 | <1% | 103 | $404.54 | |
| 51798 | <1% | 61 | $364.51 | |
| 90633 | <1% | 25 | $355.31 | |
| 99442 | <1% | 49 | $325.36 | |
| 4000F | <1% | 21 | $303.45 | |
| 73630 | <1% | 15 | $201.88 | |
| G8482 | Influenza immunization administered or previously received | <1% | 79 | $170.13 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 22 | $155.20 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 12 | $94.16 |
| 90723 | <1% | 224 | $89.53 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 51 | $78.40 |
| 93295 | <1% | 14 | $69.12 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $65.85 |
| 99441 | <1% | 17 | $29.64 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 15 | $18.88 |
| 1101F | 0% | 7,314 | $0.00 | |
| 1126F | 0% | 2,469 | $0.00 | |
| 99024 | 0% | 798 | $0.00 | |
| 1125F | 0% | 833 | $0.00 | |
| 0509F | 0% | 104 | $0.00 | |
| 4010F | 0% | 207 | $0.00 | |
| 1170F | 0% | 821 | $0.00 | |
| 1111F | 0% | 52 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 3288F | 0% | 3,800 | $0.00 | |
| 1159F | 0% | 406 | $0.00 | |
| 1090F | 0% | 3,213 | $0.00 | |
| 1003F | 0% | 3,785 | $0.00 | |
| 1160F | 0% | 421 | $0.00 | |
| 1124F | 0% | 405 | $0.00 | |
| 1100F | 0% | 141 | $0.00 | |
| 90681 | 0% | 16 | $0.00 | |
| 90734 | 0% | 13 | $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 officialCAMPBELL, TODD (CFO)
| Provider | Location | Paid |
|---|---|---|
| The Bridge Health Clinics & Research Centers, INC. | Milwaukee, WI | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.