Agency
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $60K by Medicaid between Oct 2023 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
MADISON, WV 25130
MADISON, WV 25130
33aNPI1184361347assigned 05/18/2022
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$60K
24GClaims2,010
24DCodes billed5
24AFirst – last monthOct 2023 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#83 of 93
Median peer was paid$1.97M
This provider vs. median0.0×
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 | 335 | $10K | |
| 2024incomplete | 1,675 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 739 | 316 | $37K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 22% | 595 | 316 | $13K |
| 80305 | 6.6% | 428 | 282 | $4K | |
| 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 | 6.1% | 45 | 38 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.2% | 203 | 92 | $2K |
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)
| 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 | Danville, WV | $1.59M |
| Boone Memorial Hospital, INC | Madison, WV | $875K |
| Boone Memorial Hospital, INC | Comfort, WV | $329K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.