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

City Family Medicine INC

City Family Medicine INC was paid $417K by Medicaid between May 2021 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoCITY FAMILY MEDICINE INC
FOLLANSBEE, WV 26037
33aNPI1922613470assigned 09/11/2020
28Total paid$417K
24GClaims6,565
24DCodes billed8
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in West Virginia

Rank by total paid#7 of 23
Median peer was paid$128K
This provider vs. median3.3×

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

$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
2021710$46K
20222,514$153K
20231,929$127K
2024incomplete1,412$91K
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 72% 4,143 3,142 $301K
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 9.8% 457 416 $41K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 545 467 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6.5% 821 738 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.6% 405 281 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.4% 50 45 $6K
87807 <1% 100 98 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 44 43 $622.66

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 officialMARINO, PAUL (NURSE PRACTITIONER)