Physician
Princeton Community Hospital Assn INC.
Princeton Community Hospital Assn INC. was paid $15.37M by Medicaid between Jan 2018 and Dec 2024, across 177 billing codes. Its largest line is 99284, emergency room visit (serious) — 15% of everything it billed.
33Billing provider infoPRINCETON COMMUNITY HOSPITAL ASSN INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1093917643assigned 06/05/2007
33bProvider typeUrology Physician
28Total paid$15.37M
24GClaims379,949
24DCodes billed177
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in West Virginia
Rank by total paid#1 of 12
Median peer was paid$32K
This provider vs. median484×
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 | 26,078 | $1.37M | |
| 2019 | 22,647 | $732K | |
| 2020 | 42,019 | $1.29M | |
| 2021 | 68,248 | $2.05M | |
| 2022 | 87,763 | $3.16M | |
| 2023 | 71,148 | $3.55M | |
| 2024incomplete | 62,046 | $3.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 30,884 | 27,491 | $2.34M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 52,577 | 16,829 | $2.09M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.8% | 26,035 | 23,491 | $1.19M |
| 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 | 7.7% | 21,185 | 18,598 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 22,358 | 18,928 | $1.03M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.6% | 8,345 | 7,320 | $867K |
| 99223 | Prolong inpt eval add15 m | 5.5% | 7,920 | 6,798 | $841K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.9% | 24,177 | 9,630 | $595K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.4% | 8,549 | 7,467 | $518K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 4,525 | 3,915 | $418K |
| 99221 | 2.5% | 7,124 | 6,164 | $389K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.5% | 5,334 | 4,079 | $382K |
165 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.1% | 5,245 | $325K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.9% | 5,499 | $299K |
| 31231 | 1.9% | 2,883 | $288K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.4% | 1,619 | $220K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 7,139 | $190K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 1,287 | $180K |
| 31575 | <1% | 1,997 | $125K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 2,242 | $113K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,280 | $108K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 3,846 | $81K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 932 | $76K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,442 | $74K |
| 71045 | Radiologic examination, chest; single view | <1% | 17,103 | $71K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,169 | $69K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,419 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,022 | $64K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14,130 | $63K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 9,488 | $54K |
| 95117 | <1% | 8,181 | $53K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,968 | $52K |
| 90837 | Psychotherapy session, about an hour | <1% | 539 | $51K |
| 99219 | <1% | 564 | $42K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,105 | $40K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 187 | $40K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 745 | $38K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 263 | $36K |
| 88342 | <1% | 1,176 | $34K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,330 | $28K |
| 47563 | <1% | 85 | $28K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 453 | $27K |
| 92567 | <1% | 2,552 | $26K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 295 | $22K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 276 | $20K |
| 88307 | <1% | 336 | $19K | |
| 88304 | <1% | 2,135 | $18K | |
| 76830 | Ultrasound, transvaginal | <1% | 349 | $18K |
| 76642 | <1% | 717 | $17K | |
| 49083 | <1% | 397 | $17K | |
| 72110 | <1% | 2,194 | $16K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 483 | $16K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 527 | $15K |
| 99217 | <1% | 341 | $15K | |
| 99460 | <1% | 232 | $12K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 268 | $12K |
| 81002 | <1% | 2,776 | $12K | |
| 74019 | <1% | 1,823 | $12K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 179 | $11K |
| 99225 | <1% | 244 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 860 | $11K |
| 59025 | Fetal non-stress test | <1% | 333 | $11K |
| 76536 | <1% | 422 | $11K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 92 | $10K |
| 71250 | <1% | 301 | $10K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 269 | $9K |
| 70486 | <1% | 357 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 932 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 74 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,075 | $8K |
| 73562 | <1% | 1,476 | $8K | |
| 30802 | <1% | 98 | $8K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 131 | $8K |
| 93971 | <1% | 438 | $7K | |
| 73030 | <1% | 1,256 | $7K | |
| 73630 | <1% | 1,302 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 313 | $6K |
| 95027 | <1% | 48 | $6K | |
| 31500 | <1% | 65 | $6K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 126 | $5K |
| 73610 | <1% | 1,062 | $5K | |
| 78227 | <1% | 206 | $5K | |
| 93000 | <1% | 748 | $5K | |
| 72050 | <1% | 628 | $5K | |
| 69210 | <1% | 235 | $5K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 90 | $5K |
| 73130 | <1% | 872 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 347 | $4K |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 425 | $4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 202 | $4K |
| 74018 | <1% | 784 | $4K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 250 | $4K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 95 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 333 | $3K |
| 73502 | <1% | 532 | $3K | |
| 90686 | <1% | 384 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $3K |
| 76775 | <1% | 176 | $3K | |
| 72070 | <1% | 507 | $3K | |
| 73110 | <1% | 558 | $3K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 105 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $2K |
| 12001 | <1% | 71 | $2K | |
| 51798 | <1% | 462 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 53 | $2K |
| 88104 | <1% | 144 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 45 | $2K |
| 72141 | <1% | 36 | $2K | |
| 93016 | <1% | 68 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 29 | $2K |
| 93970 | <1% | 83 | $2K | |
| 93975 | <1% | 41 | $1K | |
| 90671 | <1% | 110 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 98 | $1K |
| 77066 | Tomosynthesis, mammo | <1% | 59 | $1K |
| 73080 | <1% | 258 | $1K | |
| 76770 | <1% | 56 | $1K | |
| 93018 | <1% | 56 | $1K | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 133 | $1K |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 538 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $1K |
| 72100 | <1% | 159 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,639 | $1K |
| 73564 | <1% | 150 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 36 | $977.63 |
| 88108 | <1% | 45 | $949.40 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 29 | $940.82 |
| 88302 | <1% | 132 | $940.78 | |
| 76870 | <1% | 40 | $795.39 | |
| 36556 | <1% | 16 | $779.74 | |
| 73590 | <1% | 167 | $768.59 | |
| 93880 | <1% | 25 | $767.57 | |
| 73090 | <1% | 156 | $721.10 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 132 | $654.00 |
| 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) | <1% | 1,166 | $629.36 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 146 | $568.37 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $564.81 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 26 | $546.10 |
| 90961 | <1% | 40 | $539.99 | |
| 12002 | <1% | 12 | $520.61 | |
| 70490 | <1% | 12 | $516.24 | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 12 | $486.72 |
| 90656 | <1% | 51 | $474.61 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 357 | $452.36 |
| 77080 | <1% | 72 | $448.44 | |
| 73221 | <1% | 13 | $425.14 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 241 | $392.52 |
| 78582 | <1% | 12 | $351.50 | |
| 90474 | <1% | 46 | $340.83 | |
| 72131 | <1% | 12 | $323.24 | |
| 71100 | <1% | 43 | $298.28 | |
| 76000 | <1% | 81 | $292.11 | |
| 99443 | <1% | 14 | $274.15 | |
| 93244 | <1% | 13 | $224.37 | |
| 73522 | <1% | 28 | $217.94 | |
| 72040 | <1% | 30 | $217.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $212.99 |
| 74420 | <1% | 20 | $207.11 | |
| 87210 | <1% | 42 | $204.83 | |
| 99304 | <1% | 15 | $172.79 | |
| 95024 | <1% | 33 | $161.75 | |
| 72081 | <1% | 14 | $110.50 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 220 | $109.62 |
| 96127 | <1% | 30 | $83.84 | |
| 73560 | <1% | 14 | $65.92 | |
| 1111F | <1% | 970 | $65.00 | |
| 3046F | <1% | 13 | $61.86 | |
| 73140 | <1% | 12 | $53.97 | |
| 3023F | <1% | 15 | $32.00 | |
| 3288F | 0% | 577 | $0.00 | |
| 4040F | 0% | 44 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90648 | 0% | 97 | $0.00 | |
| 93356 | 0% | 39 | $0.00 | |
| 90723 | 0% | 80 | $0.00 | |
| 90680 | 0% | 78 | $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 officialSPENCER, DIANE (VP OF FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Princeton Community Hospital Assn., INC. | Princeton, WV | $40.95M |
| Princeton Community Hospital Assn., INC | Bluefield, VA | $413K |
| Princeton Community Hospital Assn., INC | Bluefield, WV | $397K |
| Princeton Community Hospital Assn., INC | Bluefield, WV | $301K |
| Princeton Community Hospital Assn., INC | Bluefield, VA | $184K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.