Physician
Grafton City Hospital INC
Grafton City Hospital INC was paid $407K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99283, emergency room visit (moderate) — 54% of everything it billed.
33Billing provider infoGRAFTON CITY HOSPITAL INC
GRAFTON, WV 26354
GRAFTON, WV 26354
33aNPI1033264387assigned 01/25/2007
33bProvider typeGeneral Practice Physician
28Total paid$407K
24GClaims7,452
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in West Virginia
Rank by total paid#6 of 20
Median peer was paid$53K
This provider vs. median7.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 409 | $18K | |
| 2019 | 226 | $25K | |
| 2020 | 727 | $85K | |
| 2021 | 886 | $31K | |
| 2022 | 1,003 | $44K | |
| 2023 | 2,296 | $117K | |
| 2024incomplete | 1,905 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 54% | 3,720 | 3,381 | $219K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 1,176 | 1,083 | $105K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 15% | 1,730 | 1,578 | $59K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.9% | 128 | 122 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 24 | 14 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 524 | 451 | $2K |
| 99219 | <1% | 12 | 12 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 111 | 65 | $829.21 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 14 | 13 | $746.24 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 13 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBOYLES, GEORGE (INTERIM CEO)