Tice, Douglas

Tice, Douglas was paid $4K by Medicaid between Oct 2021 and Jul 2022, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 41% of everything it billed.

33Billing provider infoTICE, DOUGLAS
MARTINSBURG, WV 25401

33aNPI1942314620assigned 08/18/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$4K

24GClaims135

24DCodes billed4

24AFirst – last monthOct 2021 – Jul 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in West Virginia

Rank by total paid#18 of 19

Median peer was paid$210K

This provider vs. median0.0×

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
2021	109	$3K
2022	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	41%	32	31	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	40	37	$1K
20610		17%	35	29	$613.91
J1030	Injection, methylprednisolone acetate, 40 mg	2.9%	28	28	$107.37

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.