Clinic
Summersville Regional Medical Center
Summersville Regional Medical Center was paid $231K by Medicaid between Jan 2018 and Jun 2019, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoSUMMERSVILLE REGIONAL MEDICAL CENTER
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
33aNPI1407031446assigned 01/09/2008
33bProvider typeRural Health Clinic/Center
28Total paid$231K
24GClaims7,993
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#38 of 49
Median peer was paid$956K
This provider vs. median0.2×
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 | 6,479 | $212K | |
| 2019 | 1,514 | $19K |
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 | 49% | 3,482 | 2,970 | $113K |
| 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% | 1,682 | 1,506 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 889 | 784 | $20K |
| 4004F | 6.6% | 302 | 241 | $15K | |
| 1036F | 6.4% | 281 | 232 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.2% | 315 | 276 | $10K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.1% | 191 | 174 | $5K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 1.6% | 107 | 94 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 41 | 41 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 118 | 118 | $2K |
| 90656 | <1% | 20 | 20 | $800.53 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 93 | 87 | $225.72 |
1 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 472 | $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 officialKINCELL, DEBORAH (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Summersville Regional Medical Center | Summersville, WV | $3.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.