Physician
Potomac Valley Hospital of W Va , INC
Potomac Valley Hospital of W Va , INC was paid $2.32M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99284, emergency room visit (serious) — 26% of everything it billed.
33Billing provider infoPOTOMAC VALLEY HOSPITAL OF W VA , INC
KEYSER, WV 26726
KEYSER, WV 26726
33aNPI1316054919assigned 08/23/2006
33bProvider typeSurgery Physician
28Total paid$2.32M
24GClaims40,481
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in West Virginia
Rank by total paid#2 of 21
Median peer was paid$28K
This provider vs. median83×
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 | 1,980 | $97K | |
| 2019 | 751 | $39K | |
| 2020 | 2,702 | $165K | |
| 2021 | 2,889 | $173K | |
| 2022 | 6,426 | $381K | |
| 2023 | 13,579 | $749K | |
| 2024incomplete | 12,154 | $713K |
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 | 26% | 7,803 | 6,597 | $599K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 9,566 | 8,562 | $474K |
| 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 | 19% | 5,644 | 4,572 | $431K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 7,528 | 6,041 | $382K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 1,769 | 1,482 | $105K |
| 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 | 4.3% | 1,036 | 893 | $100K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.1% | 2,349 | 2,185 | $71K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 300 | 224 | $29K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 212 | 203 | $26K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 377 | 296 | $25K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.1% | 214 | 180 | $25K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 370 | 314 | $17K |
16 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,479 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 262 | $8K |
| 20610 | <1% | 157 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 44 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 259 | $2K |
| 96127 | <1% | 449 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 14 | $664.13 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $619.43 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 46 | $383.74 |
| 94060 | <1% | 24 | $200.06 | |
| 94729 | <1% | 24 | $156.80 | |
| 90838 | <1% | 32 | $65.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $32.64 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 21 | $14.43 |
| 99024 | 0% | 444 | $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 officialWELLS, SUE (DIR PROV SUPPORT SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Potomac Valley Hospital of W Va , INC | Keyser, WV | $859K |
| Potomac Valley Hospital of W Va , INC | Fort Ashby, WV | $411K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.