Pulmonary Disease in West Virginia
Individual Pulmonary Disease providers billing Original Medicare Part B in West Virginia: 67 in 2024.
See available data · View sample report · What a Market Comparison contains
Available data
- individual providers, 2024
- 67
- data years
- 5
- groups listed
- 9
Specialty, geography, providers by year and peer group
- Specialty
- Pulmonary Disease (the provider type on the Medicare claims record; individuals only)
- Geography
- West Virginia.
- Data years
- 2020, 2021, 2022, 2023, 2024
- Providers by year
- 2020: 62 · 2021: 61 · 2022: 63 · 2023: 67 · 2024: 67
- Peer group for ranks
- The cohort is West Virginia itself: ranks and positions are among its own providers (at least 20), so no geographic fallback applies.
Fee schedule change for Pulmonary Disease, 2026 to 2027 (proposed rule)
At the 2027 proposed rule rates, the median change in calculated Medicare allowed for Pulmonary Disease clinicians in West Virginia is −4.4%, on the same services as in 2024 (middle half −4.5% to −4.2%, 66 clinicians).
calculated at each clinician's published code mix; volume held fixed; proposed rule.
By area, and what the calculation leaves out2 areas
| Area | Clinicians | Median change | Middle half |
|---|---|---|---|
| West Virginia | 66 | −4.4% | −4.5% to −4.2% |
| United States | 10,499 | −3.3% | −4.0% to −2.8% |
Codes this specialty billed in 2024 that have no 2027 rate in the proposed rule (deleted or not listed; left out of the calculation, never estimated): 95806, 95800, 95801, 92507.
104 codes are new in the 2027 proposed rule (not in any 2024 code mix); 53 codes move to a national rate from a 2026 status without one (carrier-priced and others); lines in those codes are left out of the calculation.
Each clinician’s own figure, with the codes behind it, is in the Physician Report. How this is calculated.
Telehealth-only services and setting, Pulmonary Disease, 2020–2024
In 2024, 0.3% of Pulmonary Disease Medicare work in West Virginia was in telehealth-only services (0.8% in 2020), a floor of all telehealth work; 18% was billed at the office (non-facility) rate and 82% at the facility rate.
Share of work by setting, by year: table2 areas
West Virginia: share of calculated Medicare work RVUs by setting
| Year | Telehealth-only | Office rate | Facility rate | Clinicians | Share with any telehealth-only |
|---|---|---|---|---|---|
| 2020 | 0.8% | 24% | 75% | 62 | 32% |
| 2021 | 0.9% | 25% | 74% | 60 | 20% |
| 2022 | 0.2% | 27% | 73% | 62 | 6% |
| 2023 | under 0.1% | 23% | 77% | 66 | 2% |
| 2024 | 0.3% | 18% | 82% | 66 | 3% |
United States: share of calculated Medicare work RVUs by setting
| Year | Telehealth-only | Office rate | Facility rate | Clinicians | Share with any telehealth-only |
|---|---|---|---|---|---|
| 2020 | 1.4% | 27% | 71% | 10,065 | 35% |
| 2021 | 0.8% | 30% | 69% | 10,156 | 19% |
| 2022 | 0.5% | 32% | 68% | 10,291 | 12% |
| 2023 | 0.3% | 34% | 66% | 10,376 | 7% |
| 2024 | 0.3% | 35% | 65% | 10,508 | 6% |
Telehealth-only services are codes that exist only as remote services (telephone and online visits, virtual check-ins, telehealth consultations). The share is a floor, not total telehealth: CMS publishes the place of service only as facility or non-facility and does not publish telehealth modifiers, so a video visit billed with an ordinary visit code is counted in the setting CMS records. Every year is weighted at the 2024 work relative values, so a share moves only when the services billed move. Cells of at least 11 clinicians. How this is calculated.
Market Comparison
One specialty in one market (a metro area, a state's area outside metro areas, a whole state or the United States): each cohort member's figures and rank, the distribution, percentiles and trend, plus the full report of a selected physician who is in that market, for 12 months.
Reports are not on sale yet.
View sample reportWhat the Market Comparison contains
Show details1 known limitation
Included
- The cohort table: each clinician's exact Medicare payment, calculated work RVUs and rank in this specialty and market
- A ranked list of every clinician in this specialty and market by Medicare payment or work RVUs, opening at the selected physician with those just above and below
- Each listed clinician's codes for a data year: every code line with place of service, services, beneficiaries, Medicare payment and work RVUs
- Medians, percentiles, the distribution and the trend for this specialty and market
- Estimated figures and the offer calculator for this market
- The full Physician Report of the selected physician, when that physician is in this market
- A downloadable market report (PDF)
Not included
- Other specialties and other markets
- Multi-year history, peer comparisons and the printable report of clinicians other than the selected physician (each one's Physician Report)
- Peer comparison flags (professional subscription, not sold)
Known limitations
- CMS suppresses code lines with fewer than 11 beneficiaries, so calculated work RVUs are a floor.
Pulmonary Disease by metro area in West Virginia
Show details12 areas
A Market Comparison is also prepared for each metro area and for the area outside metro areas. Alphabetical; provider counts are for 2024.
Groups with the most Pulmonary Disease providers in West Virginia
Show details9 groups
- West Virginia University Medical Corporation (12 Pulmonary Disease providers)
- Charleston Area Medical Center Inc (10 Pulmonary Disease providers)
- Ths Physician Partners Inc (5 Pulmonary Disease providers)
- University Physicians And Surgeons, Inc (5 Pulmonary Disease providers)
- Hospital Development Co. (4 Pulmonary Disease providers)
- Monongalia County General Hospital Company (4 Pulmonary Disease providers)
- Princeton Community Hospital Assn. Inc. (4 Pulmonary Disease providers)
- East Mountain Health Physicians Inc (2 Pulmonary Disease providers)
- St. Mary's Himg, LLC (2 Pulmonary Disease providers)
Group affiliation: CMS Doctors and Clinicians file; data year 2024. Ordered by the count of providers of the specialty, then by name; groups tied at the end of the list are left out.
Original Medicare Part B fee-for-service only; payments go to the billing entity. How every figure is computed: methodology, including known limitations.
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service).