NP / PA
ST Mary's Hospitalist Services, LLC
ST Mary's Hospitalist Services, LLC was paid $2.50M by Medicaid between Jun 2018 and Dec 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.
33Billing provider infoST MARY'S HOSPITALIST SERVICES, LLC
HUNTINGTON, WV 25702
HUNTINGTON, WV 25702
33aNPI1942432687assigned 08/13/2009
33bProvider typePhysician Assistant
28Total paid$2.50M
24GClaims64,422
24DCodes billed20
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in West Virginia
Rank by total paid#7 of 25
Median peer was paid$151K
This provider vs. median17×
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 | 4,384 | $124K | |
| 2019 | 10,110 | $271K | |
| 2020 | 10,435 | $269K | |
| 2021 | 10,834 | $348K | |
| 2022 | 10,854 | $529K | |
| 2023 | 9,728 | $495K | |
| 2024incomplete | 8,077 | $465K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 47% | 34,662 | 10,305 | $1.17M |
| 99223 | Prolong inpt eval add15 m | 16% | 5,420 | 4,825 | $406K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 7,964 | 2,755 | $400K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.4% | 3,179 | 2,751 | $184K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.9% | 1,789 | 1,604 | $123K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 1,426 | 1,241 | $48K |
| 99220 | 1.8% | 512 | 443 | $44K | |
| 4040F | 1.1% | 3,193 | 2,462 | $29K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.1% | 3,073 | 2,395 | $27K |
| 99225 | <1% | 547 | 249 | $22K | |
| 99217 | <1% | 425 | 377 | $17K | |
| 99219 | <1% | 235 | 213 | $14K |
8 more codes
| 1036F | <1% | 915 | $5K | |
| 1123F | <1% | 744 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 118 | $2K |
| 99226 | <1% | 22 | $1K | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 52 | $275.66 |
| G8482 | Influenza immunization administered or previously received | <1% | 78 | $194.50 |
| 1124F | <1% | 13 | $137.35 | |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 55 | $56.53 |
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 officialMORGAN, MARK (COO)
Parent organizationST MARY'S MEDICAL MANAGEMENT, LLC
| Provider | Location | Paid |
|---|---|---|
| ST. Mary's Himg, LLC | Huntington, WV | $2.57M |
| Ultimate Health Services INC | Huntington, WV | $912K |
| ST. Mary's Medical Management, LLC | Huntington, WV | $466K |
| Ultimate Health Services, INC. | Huntington, WV | $14.86 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.