Physician
Shenandoah Memorial Hospital INC.
Shenandoah Memorial Hospital INC. was paid $2.49M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSHENANDOAH MEMORIAL HOSPITAL INC.
WOODSTOCK, VA 22664
WOODSTOCK, VA 22664
33aNPI1053848069assigned 05/22/2017
33bProvider typePediatrics Physician
28Total paid$2.49M
24GClaims61,691
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#75 of 817
Median peer was paid$29K
This provider vs. median85×
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 | 7,168 | $207K | |
| 2019 | 13,204 | $392K | |
| 2020 | 6,960 | $284K | |
| 2021 | 7,682 | $362K | |
| 2022 | 6,982 | $427K | |
| 2023 | 10,359 | $428K | |
| 2024incomplete | 9,336 | $390K |
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 | 43% | 18,007 | 15,898 | $1.07M |
| 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 | 27% | 7,801 | 7,058 | $662K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,522 | 3,380 | $268K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 3,235 | 2,994 | $227K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 1,307 | 1,266 | $99K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 514 | 509 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 4,588 | 4,364 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 4,189 | 3,913 | $30K |
| 90461 | <1% | 2,643 | 2,457 | $10K | |
| 87428 | <1% | 300 | 280 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 582 | 517 | $6K |
| 99173 | <1% | 1,801 | 1,685 | $4K |
26 more codes
| 90670 | <1% | 1,927 | $3K | |
| 92552 | <1% | 102 | $2K | |
| 99381 | <1% | 28 | $2K | |
| 92551 | <1% | 201 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 90723 | <1% | 1,520 | $2K | |
| 90677 | <1% | 276 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 527 | $1K |
| 90686 | <1% | 2,009 | $1K | |
| 90651 | <1% | 244 | $1K | |
| 90716 | <1% | 810 | $1K | |
| 90647 | <1% | 651 | $1K | |
| 90633 | <1% | 1,144 | $894.46 | |
| 90734 | <1% | 288 | $722.01 | |
| 90707 | <1% | 810 | $695.40 | |
| 90681 | <1% | 512 | $555.59 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 154 | $437.79 |
| 90715 | <1% | 170 | $378.88 | |
| 90696 | <1% | 234 | $306.20 | |
| 90648 | <1% | 1,277 | $253.06 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $224.94 |
| 96127 | <1% | 18 | $112.07 | |
| 81003 | <1% | 18 | $37.58 | |
| 90620 | <1% | 20 | $22.16 | |
| 90700 | <1% | 132 | $12.21 | |
| 90656 | <1% | 95 | $11.94 |
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 (MANAGER, INSURANCE CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Hampshire Memorial Hospital, INC. | Romney, WV | $4.22M |
| War Memorial Hospital, INC. | Berkeley Springs, WV | $1.06M |
| Shenandoah Memorial Hospital INC. | New Market, VA | $936K |
| Shenandoah Memorial Hospital INC. | Woodstock, VA | $384K |
| Shenandoah Memorial Hospital INC. | Mount Jackson, VA | $373K |
| 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.