ISAAC G ALEXIS, MD

NPI 1447313762, individual, Buckeye, WV, General Practice

Evidence tier

structure or single-organization volume

Hours beyond a day in 4 months, but with up to 809 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
Medicaid dollars per patient on code 99406 ($198 per patient-month) sit in the top 5% of every provider billing that code.

score 55 of 100, rank 7761, $1.4M at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Jun 2020	More hours than a day holds, even counting one unit per claim line	25.2	23.5	15.7	21.4	666	1	90832 90837 99204 99205 99213 99214 99406	$76K
Aug 2020	More hours than a day holds, even counting one unit per claim line	27.5	25.5	17.0	25.1	550	1	90837 99204 99213 99214 99401 99406	$86K
Sep 2020	More hours than a day holds, even counting one unit per claim line	43.8	41.9	27.9	38.1	672	1	90832 90837 99213 99401 99406	$135K
Oct 2020	More hours than a day holds, even counting one unit per claim line	34.5	30.7	20.5	28.8	809	1	90832 90837 99211 99213 99401 99406	$105K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ISAAC G ALEXIS, MD
Type	Individual, sole proprietor
Status	Active
NPI issued	December 18, 2006, last updated January 7, 2016
Practice location	150 DUNCAN ROAD, Buckeye, WV 24924-9037, 304-799-7400
Specialties	General Practice (208D00000X, primary, license 26005 WV) General Practice (208D00000X, license 4301088927 MI)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$880K	30%	$196	$44 (top 5% from $110)	98th percentile
80307	Testing for presence of drug, by chemistry analyzers	$800K	27%	$198	$45 (top 5% from $110)	99th percentile
82075	Measurement of alcohol level in breath specimen	$440K	15%	$157	$29 (top 5% from $75)	99th percentile
90837	Psychotherapy, 1 hourhistory of abuse	$351K	12%	$220	$191 (top 5% from $442)	62nd percentile
99406	Smoking and tobacco use intensive counseling, 4-10 minutes	$193K	6%	$107	$7.24 (top 5% from $18)	100th percentile
99401	Preventive counseling individual 15 min	$72K	2%	$89	$16 (top 5% from $46)	98th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$66K	2%	$101	$60 (top 5% from $133)	86th percentile
81025	Urine pregnancy test	$41K	1%	$41	$5.49 (top 5% from $12)	99th percentile

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
99350	Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	450	244	$70K	$284	$199	1.4x	1.9x (90th percentile 3.3x)
99497	Advance care planning, first 30 minutes	836	485	$61K	$155	$89	1.8x	2.3x (90th percentile 4.9x)
99344	Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes	328	328	$34K	$288	$151	1.9x	2.1x (90th percentile 3.5x)
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	171	171	$31K	$238	$179	1.3x	2.3x (90th percentile 4.2x)
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$14K	$185	$142	1.3x	2.3x (90th percentile 4.1x)
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif	416	226	$11K	$150	$34	4.5x	2.1x (90th percentile 4.1x)
99345	Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	40	40	$7K	$447	$221	2.0x	1.9x (90th percentile 3.1x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

47 providers in WV carry an indicator in the public record, with $21.2M at stake between them. The most common is more hours than a day holds, on 33 of them, followed by part of a provider network on 6. 6 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	JOSEPH JURAND Martinsburg, WV, ranked 194	$48K	Listed on the MD Medicaid exclusion list since September 11, 2015. Medicaid still paid claims in 8 later months, $47,640 in total.
1	MICHAEL SHRAMOWIAT LLC Vienna, WV, ranked 202	$43K	Listed on the Medicare revocation list since November 19, 2014. Medicaid still paid claims in 21 later months, $42,976 in total.
1	SHAWN BLANKENSHIP Charleston, WV, ranked 289	$0	Adjudicated (pleaded guilty) per a state attorney general release dated March 20, 2025. No Medicaid payments in the last 12 observed months. and 4 more
1	HUGH SMITH Charleston, WV, ranked 314	$6K	Listed on the Medicare revocation list since January 7, 2021. Medicaid still paid claims in 5 later months, $6,083 in total.
1	WILLIAM EARLEY Vienna, WV, ranked 428	$265	Listed on the SC Medicaid exclusion list since May 1, 2018. Medicaid still paid claims in 1 later month, $265 in total.
1	HOLISTIC, INC Charleston, WV, ranked 557	$0	Adjudicated (pleaded guilty) per a state attorney general release dated March 20, 2025. No Medicaid payments in the last 12 observed months.
3	BRIAN MCDEVITT Chapmanville, WV, ranked 1665	$915	Charged (indicted) per a Department of Justice release dated June 27, 2024, not adjudicated. Medicaid paid $915 in the last 12 observed months.
3	HARRELL NURSING HOME Charleston, WV, ranked 2693	$0	Part of provider network D1-00115, ranked 115 nationally.

All 47 in WV

Recent enforcement in WV

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026

Northern District of West Virginia Part of National Health Care Fraud Takedown Resulting in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud

Two providers reached civil settlements resolving allegations that they used pre-signed, invalid prescriptions issued outside the usual course of their professional practice to patients in West Virginia while traveling and not in close proximity to their offices, and in one case submitted claims to Medicare and Medicaid during that time.

DOJComplaint filedJun 23, 2026

U.S. Attorney Moore Capito Announces Fraud Conspiracy Charges Against Sober Living Home Founder and Spouse

Two individuals affiliated with a sober living recovery program allegedly conspired to falsify and submit timesheets to a testing laboratory for drug testing work not performed, and the laboratory paid the billings and obtained reimbursement from federal and state healthcare programs; separately, a sleep laboratory paid $120,000 to resolve allegations it billed Medicaid and the VA Community Health program for sleep studies and polysomnogram reports prepared and signed by unqualified, non-physician staff.

DOJPleaded guiltyJun 17, 2026

Mercer County Woman Pleads Guilty to $175,731.31 Fraud Scheme Targeting Federal Veterans Health Care Benefits

Radford, an owner of Healthcare Therapy Services LLC doing business as Medical Massage Therapy, submitted false bills to CHAMPVA for massage services not rendered, stealing $175,731.31.

DOJCivil settlementMar 5, 2026

Laboratory Agrees to Pay More than $200,000 for Improper Billing to West Virginia Medicaid Program

Integra repeatedly submitted billings to the West Virginia Medicaid program for medically unnecessary testing ordered by medical providers over a two-year period, specifically improper claims for specimen validity testing that were not allowable.

DOJCivil settlementApr 2, 2025

Beckley Medical Clinic and Physician Agree to Pay $152,382.70 to Resolve False Claims Act Allegations

Med-Surg and its owner submitted claims to Medicare and Medicaid using HCPCS code Q3014 for the telehealth originating site facility fee for telehealth visits where the patient was at home, which is not payable.

Referral packet

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