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NPI 1568411858 · Terra Alta, WV · Family Medicine Physician
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Roger Lewis is a family medicine physician provider located in Terra Alta, West Virginia. This profile covers 18 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Roger Lewis |
| Address | 603b W State Ave |
| City | Terra Alta |
| State | WV |
| ZIP | 26764 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | May 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $196K |
| Medicare | $123.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 690 | $90 | $59.4K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 230 | $80 | $17.3K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 70 | $140 | $10.4K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 160 | $50 | $8.5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $120 | $5.9K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 80 | $70 | $5.8K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 80 | $40 | $3.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 370 | $10 | $3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $60 | $2.8K |
| G0008 | Administration of influenza virus vaccine | 80 | $30 | $2.4K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 65 | 160 | 160 | $70 | $26.3K |
| 99214 | 79 | 2,740 | 100 | $70 | $11.8K |
| 99308 | 62 | 150 | 110 | $50 | $10.7K |
| G0439 | 324 | 560 | 60 | $120 | $9.3K |
| 91322 | 57 | 180 | 50 | $140 | $9.2K |
| 99213 | 1,860 | 2,860 | 80 | $50 | $7.5K |
| 90662 | 91 | 310 | 50 | $70 | $4.6K |
| 90480 | 97 | 250 | 70 | $30 | $2.7K |
| G0008 | 190 | 560 | 50 | $30 | $2K |
| 36415 | 40 | 340 | 80 | $10 | $1.7K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,110 | $50 | $152.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 360 | $40 | $13.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 950 | $10 | $9.4K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 880 | $10 | $8.8K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 170 | $20 | $3.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 790 | $1 | $2.4K |
| G0008 | Administration of influenza virus vaccine | 60 | $30 | $1.6K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 140 | $10 | $1.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 20 | $40 | $760 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 40 | $10 | $390 |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 875 | 1,270 | 1,240 | $30 | $245K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 265 | 1,030 | 890 | $50 | $221K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 78 | 90 | 170 | $60 | $72.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 167 | 330 | 790 | $10 | $64.1K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 25 | 80 | 310 | $10 | $37.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 240 | 430 | 200 | $10 | $18.3K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 34 | 90 | 370 | $10 | $15.9K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 14 | 20 | 30 | $20 | $1.7K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 21 | 30 | 130 | $10 | $1.6K |
| G8482 | Influenza immunization administered or previously received | 14 | 20 | 80 | $1 | $1.1K |
Showing 1–10 of 24
Other providers in the same ZIP code as Roger Lewis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Terra Alta Community Ambulance | WV | Ambulance | $78.4K | $275.4K |
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