Clinic
Rainelle Medical Center INC
Rainelle Medical Center INC was paid $14.26M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoRAINELLE MEDICAL CENTER INC
RAINELLE, WV 25962
RAINELLE, WV 25962
33aNPI1437227766assigned 12/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.26M
24GClaims189,458
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#5 of 205
Median peer was paid$521K
This provider vs. median27×
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 | 12,550 | $771K | |
| 2019 | 19,281 | $737K | |
| 2020 | 29,012 | $1.20M | |
| 2021 | 33,341 | $2.57M | |
| 2022 | 37,063 | $3.15M | |
| 2023 | 30,878 | $2.94M | |
| 2024incomplete | 27,333 | $2.88M |
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 | 94% | 74,019 | 49,570 | $13.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 20,773 | 17,256 | $130K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 12,974 | 6,591 | $122K |
| T1016 | Case management, each 15 minutes | <1% | 2,460 | 503 | $79K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,977 | 1,729 | $71K |
| 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% | 13,479 | 11,378 | $53K |
| 80061 | Lipid panel | <1% | 5,258 | 4,661 | $53K |
| 80050 | General health panel | <1% | 2,432 | 2,221 | $43K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,810 | 5,165 | $36K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,877 | 1,816 | $33K |
| 99000 | <1% | 3,571 | 3,150 | $32K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,021 | 3,524 | $26K |
63 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 2,509 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,327 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,036 | $19K |
| 80053 | Comprehensive metabolic panel | <1% | 3,447 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,473 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,368 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,640 | $11K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 942 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,352 | $8K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 718 | $7K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 956 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 392 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,077 | $4K |
| 90686 | <1% | 555 | $4K | |
| 99441 | <1% | 50 | $3K | |
| 99442 | <1% | 96 | $3K | |
| 81001 | <1% | 832 | $2K | |
| 87428 | <1% | 60 | $2K | |
| 82607 | <1% | 468 | $2K | |
| H0031 | Mental health assessment, by non-physician | <1% | 269 | $2K |
| 83735 | <1% | 709 | $1K | |
| 81025 | <1% | 251 | $1K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 24 | $1K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 260 | $1K |
| 90674 | <1% | 13 | $1K | |
| 99173 | <1% | 859 | $889.04 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 186 | $787.11 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 627 | $721.44 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 410 | $607.65 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 848 | $532.08 |
| 87400 | <1% | 46 | $501.28 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $466.42 |
| 86756 | <1% | 216 | $460.78 | |
| 81003 | <1% | 130 | $329.45 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 95 | $300.73 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 154 | $185.00 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 12 | $156.40 |
| 90656 | <1% | 18 | $44.70 | |
| 92551 | <1% | 606 | $37.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 141 | $5.00 |
| 3044F | <1% | 12 | $0.11 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 299 | $0.00 |
| 90662 | 0% | 101 | $0.00 | |
| 98960 | 0% | 500 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 128 | $0.00 |
| 90715 | 0% | 39 | $0.00 | |
| 90685 | 0% | 44 | $0.00 | |
| 0002A | 0% | 27 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 28 | $0.00 |
| 90734 | 0% | 63 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 23 | $0.00 |
| 92552 | 0% | 17 | $0.00 | |
| 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 | 0% | 13 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 132 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 6,854 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 126 | $0.00 |
| 0001A | 0% | 32 | $0.00 | |
| 90651 | 0% | 50 | $0.00 | |
| 98967 | 0% | 16 | $0.00 | |
| 96127 | 0% | 28 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 17 | $0.00 |
| 99406 | 0% | 17 | $0.00 | |
| 99172 | 0% | 13 | $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 officialBENNETT, DEBRA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center, INC. | Maxwelton, WV | $1.70M |
| Rainelle Medical Center, INC. | White Sulphur Springs, WV | $1.21M |
| Rainelle Medical Center, INC | Lewisburg, WV | $1.17M |
| Rainelle Medical Center INC | Meadow Bridge, WV | $735K |
| Rainelle Medical Center, INC. | Alderson, WV | $667K |
| Rainelle Medical Center INC | Rainelle, WV | $206K |
| Rainelle Medical Center, INC. | Rainelle, WV | $107K |
| Rainelle Medical Center, INC | Lewisburg, WV | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.