Providers
WILLIAM JEFFREY EARLEY, do
NPI 1770595043, individual, Vienna, WV, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the SC Medicaid exclusion list since May 1, 2018.
- Medicaid still paid claims in 1 later month, $265 in total.
score 92 of 100, rank 428, $265 at stake
Public list actions
OIG exclusion July 20, 2026 under section 1128a4
Physician (MD, DO), Family Practice, Little River, SC
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| SC Medicaid exclusion list state list extracted from https://www.scdhhs.gov/sites/dhhs/files/08%2027%202026%20sc%20medicaid%20sanctioned%20individuals patricia%20k%20godley.xlsx (pandas claude colmap) | Exact NPI, name verified | May 1, 2018 | still open | 1 | Jun 2019 | Jun 2019 | $265 | $103K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WILLIAM JEFFREY EARLEY, do |
| Type | Individual |
| Status | Active |
| NPI issued | August 13, 2006, last updated December 20, 2013 |
| Practice location | 800 GRAND CENTRAL MALL STE 11, Vienna, WV 26105-4100, 304-916-1270 |
| Mailing address | 800 GRAND CENTRAL MALL, Vienna, WV 26105-4100 |
| Specialties | Family Medicine (207Q00000X, primary, license 340040000 OH) |
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 | |
|---|---|---|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | $29K | 28% | $85 | $45 (top 5% from $110) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $27K | 26% | $65 | $44 (top 5% from $110) | too few months to rank | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $27K | 26% | $84 | $58 (top 5% from $129) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $15K | 15% | $92 | $60 (top 5% from $133) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $4K | 4% | $112 | $95 (top 5% from $171) | too few months to rank | |
| 96103 | Medicaid service code | $433 | 0% | $11 | $3.25 (top 5% from $28) | too few months to rank |
In this area
2 providers in Wood County, WV carry an indicator in the public record, with $1.3M at stake between them. The most common is paid after a public list action, on 2 of them. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MICHAEL SHRAMOWIAT LLC Vienna, WV, ranked 202 | $43K |
|
| 5 | CAMDEN-CLARK PHYSICIAN CORPORATION Parkersburg, WV, ranked 10935 | $1.3M |
Recent enforcement in WV
All releasesDepartment 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
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.