Clinic
Pleasant Valley Hospital INC
Pleasant Valley Hospital INC was paid $1.01M by Medicaid between Jun 2020 and Nov 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoPLEASANT VALLEY HOSPITAL INC
MASON, WV 25260
MASON, WV 25260
33aNPI1083274385assigned 06/18/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.01M
24GClaims11,696
24DCodes billed11
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#24 of 49
Median peer was paid$956K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 962 | $49K | |
| 2021 | 3,460 | $261K | |
| 2022 | 3,646 | $300K | |
| 2023 | 2,614 | $259K | |
| 2024incomplete | 1,014 | $141K |
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 | 85% | 6,620 | 4,486 | $863K |
| 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 | 8.8% | 2,081 | 1,553 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,626 | 1,187 | $47K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 201 | 117 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 200 | 111 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 701 | 498 | $570.76 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 83 | 68 | $334.62 |
| 90686 | <1% | 67 | 55 | $298.55 | |
| 99442 | 0% | 46 | 42 | $0.00 | |
| 99441 | 0% | 56 | 55 | $0.00 | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 0% | 15 | 14 | $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 officialGROVES, TASHA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Pleasant Valley Hospital, INC. | Point Pleasant, WV | $6.64M |
| Pleasant Valley Hospital, INC. | Pt Pleasant, WV | $6.61M |
| Point Pleasant Physician Billing Services | Pt Pleasant, WV | $2.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.