Medicare provider payments and utilization data for West Virginia (WV)
West Virginia received $4.1B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ambulance Service Provider, accounting for $44.1M in payments across 136 providers.
In 2023, 7.0K providers were actively billing Medicare in West Virginia.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $429.0M | 12.4M | 6.1K | — |
| 2015 | $443.7M | 13.0M | 6.3K | +3.4% |
| 2016 | $441.4M | 13.0M | 6.5K | -0.5% |
| 2017 | $434.4M | 12.9M | 6.7K | -1.6% |
| 2018 | $436.6M | 12.8M | 6.7K | +0.5% |
| 2019 | $441.7M | 13.2M | 6.8K | +1.2% |
| 2020 | $379.5M | 11.0M | 6.8K | -14.1% |
| 2021 | $395.7M | 11.2M | 6.8K | +4.3% |
| 2022 | $365.5M | 9.8M | 6.9K | -7.6% |
| 2023 | $347.0M | 8.9M | 7.0K | -5.1% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $32.4M | 451.8K | 2.7K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $21.4M | 426.3K | 2.9K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $15.9M | 267.7K | 1.3K |
| J0178 | Injection, aflibercept, 1 mg | $13.2M | 19.2K | 8 |
| A0425 | Ground mileage, per statute mile | $12.4M | 1.7M | 132 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $8.5M | 23.4K | 98 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $8.4M | 27.6K | 116 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $8.2M | 45.9K | 66 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $7.6M | 84.2K | 664 |
| 99285 | Emergency department visit with high level of medical decision making | $6.5M | 49.1K | 421 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $6.2M | 47.9K | 781 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $5.5M | 76.7K | 91 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $5.2M | 44.7K | 559 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $5.0M | 50.7K | 1.2K |
| Q4253 | Zenith amniotic membrane, per square centimeter | $4.9M | 7.9K | 2 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $4.9M | 51.2K | 1.1K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $4.7M | 289.8K | 333 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $4.1M | 57.9K | 158 |
| 99291 | Critical care, first 30-74 minutes | $4.1M | 25.1K | 420 |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $3.7M | 912 | 4 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ambulance Service Provider | $44.1M | 136 | $324.1K |
| Ophthalmology | $29.6M | 79 | $375.3K |
| Internal Medicine | $26.7M | 466 | $57.3K |
| Family Practice | $26.7M | 622 | $42.9K |
| Nurse Practitioner | $24.1M | 1.4K | $17.5K |
| Physical Therapist in Private Practice | $14.2M | 333 | $42.6K |
| Diagnostic Radiology | $13.2M | 143 | $92.5K |
| Physician Assistant | $12.5M | 645 | $19.3K |
| Podiatry | $9.9M | 69 | $143.3K |
| Emergency Medicine | $9.9M | 281 | $35.2K |
| Cardiology | $9.3M | 79 | $117.6K |
| General Practice | $9.2M | 38 | $242.0K |
| Orthopedic Surgery | $8.1M | 110 | $74.0K |
| Mass Immunizer Roster Biller | $6.5M | 237 | $27.4K |
| Nephrology | $6.0M | 45 | $132.3K |
| Dermatology | $5.8M | 40 | $146.0K |
| Ambulatory Surgical Center | $5.8M | 6 | $959.6K |
| Hematology-Oncology | $5.7M | 46 | $123.4K |
| Radiation Oncology | $5.5M | 19 | $291.9K |
| Neurology | $4.8M | 74 | $64.2K |
| General Surgery | $4.5M | 138 | $32.5K |
| Pulmonary Disease | $4.5M | 66 | $67.7K |
| Optometry | $4.4M | 179 | $24.7K |
| Hospitalist | $4.3M | 97 | $44.2K |
| Gastroenterology | $3.5M | 53 | $65.5K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.