Clinic
Potomac Valley Hospital of W Va, INC
Potomac Valley Hospital of W Va, INC was paid $576K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoPOTOMAC VALLEY HOSPITAL OF W VA, INC
PIEDMONT, WV 26750
PIEDMONT, WV 26750
33aNPI1063649606assigned 06/22/2009
33bProvider typeRural Health Clinic/Center
28Total paid$576K
24GClaims6,357
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#31 of 49
Median peer was paid$956K
This provider vs. median0.6×
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 | 400 | $29K | |
| 2019 | 74 | $5K | |
| 2020 | 264 | $25K | |
| 2021 | 384 | $36K | |
| 2022 | 957 | $88K | |
| 2023 | 2,107 | $189K | |
| 2024incomplete | 2,171 | $205K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 3,678 | 2,931 | $378K |
| 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 | 29% | 2,354 | 1,959 | $168K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 172 | 143 | $30K |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | 38 | $0.05 |
| 90686 | 0% | 14 | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 32 | 28 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 62 | 52 | $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 officialMCBEE, HAROLD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Potomac Valley Hospital of W Va , INC | Keyser, WV | $10.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.