Hospital
Wellmont Hawkins County Memorial Hospital INC
Wellmont Hawkins County Memorial Hospital INC was paid $5.11M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.
33Billing provider infoWELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC
ROGERSVILLE, TN 37857
ROGERSVILLE, TN 37857
33aNPI1174553598assigned 07/03/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$5.11M
24GClaims102,744
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#40 of 71
Median peer was paid$6.96M
This provider vs. median0.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more
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 | 14,751 | $511K | |
| 2019 | 15,362 | $509K | |
| 2020 | 11,184 | $609K | |
| 2021 | 17,893 | $833K | |
| 2022 | 15,124 | $961K | |
| 2023 | 15,747 | $894K | |
| 2024incomplete | 12,683 | $789K |
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 | 50% | 15,599 | 13,963 | $2.54M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 11,263 | 10,382 | $1.09M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 3,970 | 3,358 | $831K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.1% | 2,376 | 2,210 | $209K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.6% | 2,628 | 2,436 | $134K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.4% | 2,584 | 2,233 | $70K |
| G0378 | Hospital observation service, per hour | <1% | 379 | 188 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,291 | 7,793 | $29K |
| 84484 | <1% | 2,534 | 1,918 | $20K | |
| 71045 | Radiologic examination, chest; single view | <1% | 2,583 | 2,214 | $18K |
| 80053 | Comprehensive metabolic panel | <1% | 7,606 | 6,471 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,028 | 2,584 | $13K |
44 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 13,466 | $12K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 465 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,689 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,642 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,195 | $6K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 564 | $6K |
| 85027 | <1% | 2,368 | $6K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 495 | $5K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 507 | $5K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 105 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 315 | $4K |
| 83690 | <1% | 1,134 | $4K | |
| 83735 | <1% | 1,141 | $3K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 474 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 98 | $2K |
| 83605 | <1% | 614 | $2K | |
| 87040 | <1% | 610 | $2K | |
| 81001 | <1% | 2,982 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 50 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 35 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 280 | $1K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $964.65 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 26 | $872.27 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 48 | $574.73 |
| 81025 | <1% | 223 | $516.88 | |
| 87081 | <1% | 200 | $495.69 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 86 | $374.44 |
| 81003 | <1% | 604 | $278.62 | |
| 83880 | <1% | 45 | $221.10 | |
| 85007 | <1% | 54 | $115.09 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 66 | $100.24 |
| 74018 | <1% | 12 | $93.31 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $75.70 |
| 73630 | <1% | 13 | $61.32 | |
| 84100 | <1% | 42 | $57.76 | |
| 84703 | <1% | 13 | $29.26 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,224 | $24.76 |
| 82553 | <1% | 12 | $20.82 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 563 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 136 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 16 | $0.00 |
| A9270 | Non-covered item or service | 0% | 188 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 34 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 44 | $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 officialHILTON, SHANE (EVP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Johnston Memorial Hospital, INC | Abingdon, VA | $35.91M |
| Wellmont Health System | Big Stone Gap, VA | $33.71M |
| Mountain States Health Alliance | Johnson City, TN | $31.31M |
| Wellmont Medical Associates INC | Kingsport, TN | $27.84M |
| Wellmont Health System | Bristol, TN | $27.35M |
| Takoma Regional Hospital INC | Greeneville, TN | $20.22M |
| Wellmont Health System | Kingsport, TN | $17.64M |
| Mountain States Health Alliance | Kingsport, TN | $15.47M |
| Smyth County Community Hospital | Marion, VA | $15.33M |
| Mountain States Health Alliance | Lebanon, VA | $11.37M |
| Mountain States Health Alliance | Pennington Gap, VA | $8.28M |
| Mountain States Health Alliance | Johnson City, TN | $8.14M |
| Mountain States Health Alliance | Elizabethton, TN | $7.25M |
| Dickenson Community Hospital, INC. | Clintwood, VA | $6.94M |
| East Tennessee Healthcare Holdings INC | Gray, TN | $3.30M |
| Mountain States Health Alliance | Mountain City, TN | $3.03M |
| Wellmont Health System | Sneedville, TN | $1.90M |
| Mountain States Health Alliance | Erwin, TN | $1.48M |
| Wilson Pharmacy INC | Johnson City, TN | $1.26M |
| Mountain States Health Alliance | Norton, VA | $376K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.