Clinic
Wetzel County Hospital, INC.
Wetzel County Hospital, INC. was paid $915K by Medicaid between Jul 2020 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) — 99% of everything it billed.
33Billing provider infoWETZEL COUNTY HOSPITAL, INC.
NEW MARTINSVILLE, WV 26155
NEW MARTINSVILLE, WV 26155
33aNPI1255963120assigned 02/10/2020
33bProvider typeRural Health Clinic/Center
28Total paid$915K
24GClaims14,542
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#26 of 49
Median peer was paid$956K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 1,977 | $102K | |
| 2021 | 4,039 | $235K | |
| 2022 | 4,090 | $255K | |
| 2023 | 2,429 | $159K | |
| 2024incomplete | 2,007 | $164K |
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 | 99% | 8,507 | 7,160 | $906K |
| 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% | 4,065 | 3,546 | $8K |
| 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% | 1,661 | 1,479 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | 30 | $138.35 |
| 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 | <1% | 34 | 34 | $88.07 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | 114 | $26.73 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | 16 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | 13 | $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% | 17 | 17 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 55 | 51 | $0.00 |
| 90686 | 0% | 18 | 16 | $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 officialHESS, DAVID (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Reynolds Memorial Hospital, INC | Glen Dale, WV | $11.45M |
| Fayette Physician Network INC | Friendsville, MD | $3.33M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $2.54M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $2.04M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $321K |
| Cgi Anesthesia Associates LLC | Cincinnati, OH | $36K |
| David E Hess M.D., INC. | Bridgeport, WV | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.