Clinic
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $1.59M by Medicaid between May 2023 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
DANVILLE, WV 25053
DANVILLE, WV 25053
33aNPI1124617535assigned 01/12/2021
33bProvider typeRural Health Clinic/Center
28Total paid$1.59M
24GClaims21,331
24DCodes billed11
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#17 of 49
Median peer was paid$956K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2023 | 6,511 | $408K | |
| 2024incomplete | 14,820 | $1.18M |
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 | 100% | 11,023 | 9,706 | $1.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 8,659 | 8,067 | $5K |
| 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 | <1% | 1,302 | 1,145 | $187.24 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | 34 | $78.53 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 165 | 161 | $0.00 |
| 11102 | 0% | 14 | 14 | $0.00 | |
| 90677 | 0% | 16 | 14 | $0.00 | |
| 90656 | 0% | 17 | 17 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 57 | 56 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 26 | 26 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 16 | 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 officialUNDERWOOD, VIRGIL (CEO)
Parent organizationBOONE MEMORIAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Boone Memorial Hospital, INC | Madison, WV | $11.00M |
| Boone Memorial Hospital, INC | Madison, WV | $4.09M |
| Boone Memorial Hospital, INC | Madison, WV | $1.65M |
| Boone Memorial Hospital, INC | Madison, WV | $875K |
| Boone Memorial Hospital, INC | Comfort, WV | $329K |
| Boone Memorial Hospital, INC | Madison, WV | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.