Westfall, Roger

Westfall, Roger was paid $15K by Medicaid between Jan 2018 and Jun 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoWESTFALL, ROGER
FRONT ROYAL, VA 22630

33aNPI1992774749assigned 03/15/2006

33bProvider typeFamily Medicine Physician

28Total paid$15K

24GClaims314

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#371 of 772

Median peer was paid$13K

This provider vs. median1.1×

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	314	$15K

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	60%	168	155	$9K
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	39%	100	88	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	13	12	$70.40
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	18	13	$10.20
36415	Collection of venous blood by venipuncture	<1%	15	14	$5.51

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.