Clinic
Pocahontas Memorial Hospital
Pocahontas Memorial Hospital was paid $3.13M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoPOCAHONTAS MEMORIAL HOSPITAL
BUCKEYE, WV 24924
BUCKEYE, WV 24924
33aNPI1346523206assigned 09/27/2011
33bProvider typeRural Health Clinic/Center
28Total paid$3.13M
24GClaims37,482
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#12 of 49
Median peer was paid$956K
This provider vs. median3.3×
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 | 5,628 | $500K | |
| 2019 | 3,361 | $203K | |
| 2020 | 5,689 | $483K | |
| 2021 | 6,278 | $498K | |
| 2022 | 6,366 | $540K | |
| 2023 | 5,706 | $491K | |
| 2024incomplete | 4,454 | $416K |
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 | 93% | 20,970 | 16,931 | $2.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 8,604 | 7,123 | $174K |
| 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 | 1.6% | 5,423 | 4,799 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 212 | 200 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 13 | $1K |
| 99429 | <1% | 16 | 16 | $210.34 | |
| 99304 | <1% | 24 | 24 | $186.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 1,970 | 1,805 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 185 | 164 | $0.00 |
| 99305 | 0% | 20 | 20 | $0.00 | |
| 99307 | 0% | 45 | 41 | $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 officialSTARCHER, SHANNON (PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Pocahontas Memorial Hospital | Buckeye, WV | $3.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.