Wayne General Hospital
Wayne General Hospital was paid $1.47M by Medicaid between Jan 2018 and Sep 2024, across 27 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 69% of everything it billed.
WAYNESBORO, MS 39367
Next to other Rural Health Clinic/Center providers in Mississippi
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,645 | $323K | |
| 2019 | 9,101 | $305K | |
| 2020 | 7,216 | $244K | |
| 2021 | 7,369 | $222K | |
| 2022 | 6,556 | $170K | |
| 2023 | 5,352 | $101K | |
| 2024incomplete | 6,237 | $106K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 69% | 26,505 | 19,521 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 7,635 | 6,089 | $247K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.1% | 1,871 | 1,106 | $61K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 5,754 | 4,338 | $40K |
| 99307 | 2.6% | 3,312 | 3,238 | $38K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.5% | 1,615 | 1,458 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 938 | 305 | $15K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 969 | 803 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 105 | 95 | $6K |
| 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% | 353 | 239 | $5K |
| 99219 | <1% | 68 | 56 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 213 | 200 | $4K |
15 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 638 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 288 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | $929.15 |
| 87428 | <1% | 336 | $908.32 | |
| 99225 | <1% | 138 | $643.34 | |
| 99051 | <1% | 27 | $489.00 | |
| 0012A | <1% | 19 | $215.22 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 62 | $214.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $179.54 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $103.14 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $97.47 |
| 0002A | <1% | 19 | $71.74 | |
| 0001A | <1% | 18 | $71.74 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 204 | $33.36 |
| 3008F | 0% | 1,053 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wayne General Hospital | Waynesboro, MS | $10.88M |
| Wayne General Hospital | Waynesboro, MS | $3.85M |
| Wayne General Hospital | Waynesboro, MS | $1.13M |
| Wayne General Hospital | Waynesboro, MS | $102K |
| Wayne General Hospsital | Waynesboro, MS | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.