Physician
Monongalia County General Hospital Company
Monongalia County General Hospital Company was paid $6.82M by Medicaid between Jan 2018 and Dec 2024, across 143 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMONONGALIA COUNTY GENERAL HOSPITAL COMPANY
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
33aNPI1447673223assigned 01/29/2014
33bProvider typeInternal Medicine Physician
28Total paid$6.82M
24GClaims251,434
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#2 of 96
Median peer was paid$24K
This provider vs. median286×
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 | 10,453 | $517K | |
| 2019 | 5,402 | $222K | |
| 2020 | 12,996 | $450K | |
| 2021 | 31,982 | $666K | |
| 2022 | 64,460 | $1.48M | |
| 2023 | 65,918 | $1.78M | |
| 2024incomplete | 60,223 | $1.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 40,525 | 31,000 | $2.06M |
| 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 | 24% | 28,122 | 23,222 | $1.66M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.2% | 7,652 | 1,805 | $288K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 3,464 | 3,073 | $258K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 2,339 | 1,526 | $155K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.2% | 232 | 198 | $150K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 2,330 | 999 | $144K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 3,311 | 2,883 | $142K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 2,639 | 2,284 | $133K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 1,428 | 1,015 | $133K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.7% | 1,504 | 1,248 | $115K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,355 | 1,074 | $113K |
131 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 1,608 | $110K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 1,467 | $109K |
| 90834 | Psychotherapy session, about 45 minutes | 1.5% | 2,038 | $105K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.5% | 1,785 | $101K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,357 | $76K |
| 99283 | Emergency room visit (moderate) | <1% | 1,372 | $64K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,463 | $62K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,690 | $58K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 475 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,875 | $52K |
| 59430 | <1% | 229 | $49K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,942 | $46K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 9,085 | $45K |
| 76830 | Ultrasound, transvaginal | <1% | 874 | $40K |
| 99285 | Emergency room visit (most serious) | <1% | 406 | $40K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 678 | $32K |
| 99205 | Prolong outpt/office vis | <1% | 297 | $30K |
| 58571 | <1% | 88 | $23K | |
| 76801 | <1% | 542 | $21K | |
| 99385 | <1% | 305 | $21K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 349 | $19K |
| 93458 | <1% | 125 | $19K | |
| 93000 | <1% | 2,244 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,595 | $17K |
| 59025 | Fetal non-stress test | <1% | 931 | $17K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 373 | $15K |
| 90715 | <1% | 1,183 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 727 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,198 | $12K |
| 99217 | <1% | 383 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 869 | $10K |
| 99220 | <1% | 156 | $10K | |
| 90686 | <1% | 1,076 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 536 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 218 | $7K |
| 81025 | <1% | 1,170 | $7K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 71 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 200 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 227 | $6K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 169 | $6K |
| 99221 | <1% | 116 | $4K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 84 | $4K |
| 99225 | <1% | 147 | $4K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 44 | $4K |
| 94060 | <1% | 544 | $4K | |
| 58662 | <1% | 24 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 92 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 51 | $4K |
| 99219 | <1% | 78 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 103 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 47 | $3K |
| 93016 | <1% | 218 | $3K | |
| 85027 | <1% | 82 | $3K | |
| 94726 | <1% | 227 | $3K | |
| 80305 | <1% | 280 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 38 | $3K |
| 93880 | <1% | 52 | $2K | |
| 80061 | Lipid panel | <1% | 70 | $2K |
| 99406 | <1% | 399 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 58 | $2K |
| 81003 | <1% | 4,329 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | $2K |
| 99152 | <1% | 185 | $2K | |
| 93018 | <1% | 219 | $2K | |
| 99442 | <1% | 238 | $2K | |
| 94729 | <1% | 148 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 28 | $2K |
| 90656 | <1% | 187 | $2K | |
| 90651 | <1% | 18 | $1K | |
| 99386 | <1% | 17 | $1K | |
| 0002A | <1% | 64 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 27 | $1K |
| 93295 | <1% | 69 | $1K | |
| 93296 | <1% | 616 | $988.73 | |
| 54150 | <1% | 12 | $731.42 | |
| 93294 | <1% | 237 | $629.31 | |
| 93971 | <1% | 25 | $628.16 | |
| 90677 | <1% | 47 | $577.40 | |
| 1111F | <1% | 3,593 | $556.95 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 13 | $556.92 |
| 3725F | <1% | 1,656 | $553.39 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 39 | $539.28 |
| 1036F | <1% | 18 | $532.80 | |
| 93288 | <1% | 14 | $476.73 | |
| 99490 | Ccm add 20min | <1% | 106 | $453.82 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | $431.54 |
| 99443 | <1% | 120 | $413.59 | |
| 87807 | <1% | 30 | $287.22 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 14 | $282.80 |
| 90670 | <1% | 28 | $241.38 | |
| 88312 | <1% | 14 | $235.88 | |
| 93272 | <1% | 13 | $206.76 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17 | $205.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $179.80 |
| 0124A | <1% | 12 | $160.00 | |
| 99441 | <1% | 35 | $142.77 | |
| 4010F | <1% | 3,713 | $123.64 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 37 | $116.92 |
| 1101F | <1% | 8,030 | $109.26 | |
| 1100F | <1% | 350 | $84.66 | |
| 3023F | <1% | 13 | $75.99 | |
| 93923 | <1% | 19 | $56.13 | |
| 96127 | <1% | 23 | $44.25 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $43.23 |
| 88300 | <1% | 12 | $29.30 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 18 | $11.31 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 67 | $5.18 |
| 3008F | <1% | 8,551 | $0.14 | |
| 1160F | <1% | 24,946 | $0.08 | |
| 3079F | 0% | 4,699 | $0.00 | |
| 3080F | 0% | 1,519 | $0.00 | |
| 3074F | 0% | 8,652 | $0.00 | |
| 1125F | 0% | 1,660 | $0.00 | |
| 3075F | 0% | 2,421 | $0.00 | |
| 3351F | 0% | 11,955 | $0.00 | |
| 3352F | 0% | 1,833 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 20 | $0.00 |
| 3044F | 0% | 207 | $0.00 | |
| 3353F | 0% | 136 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 12 | $0.00 |
| 90680 | 0% | 21 | $0.00 | |
| 1170F | 0% | 17 | $0.00 | |
| 3354F | 0% | 12 | $0.00 | |
| 3077F | 0% | 2,515 | $0.00 | |
| 3078F | 0% | 7,330 | $0.00 | |
| 1159F | 0% | 6,107 | $0.00 | |
| 90461 | 0% | 25 | $0.00 | |
| 90734 | 0% | 17 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 25 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 43 | $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 officialSCHERICH, CLYDE (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Monongalia County General Hospital Company | Morgantown, WV | $16.36M |
| Mon Health Marion Neighborhood Hospital, INC. | White Hall, WV | $1.03M |
| Monongalia County General Hospital Company | Morgantown, WV | $345K |
| Monongalia County General Hospital Company | Mannington, WV | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.