Physician
Shenandoah Memorial Hospital INC.
Shenandoah Memorial Hospital INC. was paid $373K by Medicaid between Jan 2018 and Jul 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSHENANDOAH MEMORIAL HOSPITAL INC.
MOUNT JACKSON, VA 22842
MOUNT JACKSON, VA 22842
33aNPI1053842468assigned 03/27/2017
33bProvider typeDiagnostic Radiology Physician
28Total paid$373K
24GClaims9,509
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Diagnostic Radiology Physician providers in Virginia
Rank by total paid#18 of 247
Median peer was paid$865.84
This provider vs. median431×
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 | 976 | $33K | |
| 2019 | 1,520 | $58K | |
| 2020 | 1,090 | $56K | |
| 2021 | 2,162 | $84K | |
| 2022 | 2,745 | $98K | |
| 2023 | 1,016 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 3,761 | 3,324 | $189K |
| 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 | 43% | 2,385 | 2,157 | $161K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.2% | 728 | 437 | $16K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 91 | 72 | $3K |
| 3074F | <1% | 1,207 | 1,107 | $2K | |
| 3078F | <1% | 966 | 879 | $1K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 47 | 43 | $274.23 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 29 | 15 | $228.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 27 | $205.45 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | 12 | $167.09 |
| 90686 | <1% | 12 | 12 | $158.10 | |
| 3079F | <1% | 179 | 166 | $150.00 |
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 officialBAKER, RENEE (MANGER, INSURANCE CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Hampshire Memorial Hospital, INC. | Romney, WV | $4.22M |
| Shenandoah Memorial Hospital INC. | Woodstock, VA | $2.49M |
| War Memorial Hospital, INC. | Berkeley Springs, WV | $1.06M |
| Shenandoah Memorial Hospital INC. | New Market, VA | $936K |
| Shenandoah Memorial Hospital INC. | Woodstock, VA | $384K |
| Valley Physician Enterprise, INC. | Front Royal, VA | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.