Western Maryland Health System Corporation

Western Maryland Health System Corporation was paid $70K by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoWESTERN MARYLAND HEALTH SYSTEM CORPORATION
RIDGELEY, WV 26753

33aNPI1346341716assigned 09/26/2006

33bProvider typeEmergency Medicine Physician

28Total paid$70K

24GClaims1,721

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Emergency Medicine Physician providers in West Virginia

Rank by total paid#46 of 87

Median peer was paid$75K

This provider vs. median0.9×

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
2018	879	$41K
2019	380	$17K
2020	462	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	46%	583	511	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	820	716	$32K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.3%	195	158	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	110	51	$924.20
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.1%	13	13	$763.33

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 officialREPAC, KIMBERLY (SR VP CFO)

Parent organizationWESTERN MARYLAND HEALTH SYSTEM CORPORATION