Behavioral
Rainelle Medical Center, INC
Rainelle Medical Center, INC was paid $1.25M by Medicaid between Jul 2020 and Oct 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoRAINELLE MEDICAL CENTER, INC
LEWISBURG, WV 24901
LEWISBURG, WV 24901
33aNPI1265068001assigned 03/12/2020
33bProvider typeMental Health Counselor
28Total paid$1.25M
24GClaims8,547
24DCodes billed8
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Mental Health Counselor providers in West Virginia
Rank by total paid#6 of 35
Median peer was paid$213K
This provider vs. median5.9×
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 | 467 | $41K | |
| 2021 | 2,509 | $313K | |
| 2022 | 1,852 | $307K | |
| 2023 | 2,387 | $350K | |
| 2024incomplete | 1,332 | $243K |
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 | 98% | 5,729 | 3,555 | $1.23M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,920 | 1,131 | $12K |
| 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% | 184 | 167 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 211 | 190 | $3K |
| 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% | 278 | 231 | $1K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 179 | 135 | $962.12 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 19 | 12 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 27 | 20 | $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 officialDAVIDSON-BENNETT, DEBRA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center, INC. | Hico, WV | $1.53M |
| Rainelle Medical Center, INC. | Lewisburg, WV | $801K |
| Rainelle Medical Center, INC | Lewisburg, WV | $503K |
| Rainelle Medical Center INC | Hinton, WV | $318K |
| Rainelle Medical Center, INC. | Hillsboro, WV | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.