Clinic
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
MADISON, WV 25130
MADISON, WV 25130
33aNPI1285686725assigned 05/16/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.65M
24GClaims30,832
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in West Virginia
Rank by total paid#5 of 10
Median peer was paid$1.02M
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 3,406 | $206K | |
| 2019 | 1,092 | $77K | |
| 2020 | 3,770 | $190K | |
| 2021 | 3,886 | $167K | |
| 2022 | 4,967 | $248K | |
| 2023 | 7,485 | $409K | |
| 2024incomplete | 6,226 | $352K |
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 | 27% | 5,342 | 4,928 | $443K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 8,075 | 7,572 | $407K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 15% | 8,037 | 7,614 | $242K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.6% | 1,220 | 1,135 | $142K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.2% | 925 | 860 | $86K |
| 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 | 3.6% | 1,096 | 963 | $60K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.1% | 595 | 555 | $35K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.8% | 1,344 | 629 | $30K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 483 | 448 | $27K |
| 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 | 1.6% | 423 | 366 | $26K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 221 | 205 | $24K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 189 | 175 | $19K |
20 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 471 | $18K |
| 00731 | <1% | 142 | $16K | |
| 43450 | <1% | 370 | $13K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 197 | $10K |
| 93016 | <1% | 441 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 213 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 195 | $7K |
| 93018 | <1% | 441 | $7K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 138 | $4K |
| 00813 | <1% | 26 | $3K | |
| 99226 | <1% | 38 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 41 | $2K |
| 00811 | <1% | 12 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $939.10 |
| 11102 | <1% | 34 | $619.91 | |
| 20610 | <1% | 19 | $544.18 | |
| 93227 | <1% | 13 | $339.60 | |
| 95806 | <1% | 24 | $284.08 |
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 | Danville, WV | $1.59M |
| 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.