NP / PA
Pleasant Valley Hospital, INC.
Pleasant Valley Hospital, INC. was paid $6.64M by Medicaid between Oct 2020 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoPLEASANT VALLEY HOSPITAL, INC.
POINT PLEASANT, WV 25550
POINT PLEASANT, WV 25550
33aNPI1447890157assigned 01/10/2020
33bProvider typeNurse Practitioner
28Total paid$6.64M
24GClaims59,479
24DCodes billed22
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in West Virginia
Rank by total paid#2 of 19
Median peer was paid$56K
This provider vs. median118×
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 | |
|---|---|---|---|
| 2020 | 374 | $12K | |
| 2021 | 4,810 | $359K | |
| 2022 | 23,931 | $2.39M | |
| 2023 | 20,050 | $2.42M | |
| 2024incomplete | 10,314 | $1.46M |
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 | 84% | 37,146 | 24,276 | $5.60M |
| 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 | 8.2% | 10,905 | 8,090 | $547K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 6,414 | 4,640 | $397K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,318 | 799 | $79K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,762 | 1,123 | $6K |
| 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 | <1% | 79 | 54 | $2K |
| 99442 | <1% | 134 | 131 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 179 | 157 | $865.54 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 202 | 106 | $479.41 |
| 99441 | <1% | 46 | 45 | $136.37 | |
| 99443 | <1% | 37 | 36 | $131.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 41 | 24 | $131.14 |
10 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $122.44 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 64 | $87.15 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $49.60 |
| 90686 | <1% | 44 | $22.60 | |
| 3078F | <1% | 13 | $0.02 | |
| 99307 | 0% | 778 | $0.00 | |
| 3288F | 0% | 18 | $0.00 | |
| 1101F | 0% | 18 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 227 | $0.00 |
| 1220F | 0% | 19 | $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 officialGROVES, TASHA (MEDICAL STAFF COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Pleasant Valley Hospital, INC. | Pt Pleasant, WV | $6.61M |
| Point Pleasant Physician Billing Services | Pt Pleasant, WV | $2.18M |
| Pleasant Valley Hospital INC | Mason, WV | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.