Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WARREN MEMORIAL HOSPITAL, INC.

NPI: 1457840183 · FRONT ROYAL, VA 22630 · Internal Medicine Physician · NPI assigned 05/08/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$2.10M
Total Medicaid Paid
50,738
Total Claims
45,862
Beneficiaries
54
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent OrganizationWARREN MEMORIAL HOSPITAL, INC.
NPI Enumeration Date05/08/2018

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,746 $50K
2019 8,559 $255K
2020 4,800 $193K
2021 4,902 $218K
2022 10,129 $453K
2023 12,932 $561K
2024 7,670 $370K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,502 15,428 $978K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,588 7,759 $660K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,911 1,821 $142K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,535 1,365 $104K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,037 999 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 337 328 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 561 454 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 214 200 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 257 239 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 4,561 4,151 $13K
99215 Prolong outpt/office vis 89 78 $9K
90461 2,356 2,109 $5K
90686 1,706 1,621 $3K
3074F 1,536 1,377 $3K
3078F 1,301 1,180 $2K
92567 206 174 $2K
99381 26 25 $2K
99177 395 387 $2K
90633 555 529 $2K
90670 844 786 $2K
92558 114 91 $1K
76830 Ultrasound, transvaginal 46 46 $1K
90648 823 770 $1K
99173 589 554 $1K
99000 561 512 $1K
3079F 281 262 $1K
0071A 25 25 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 19 15 $967.50
90651 119 113 $960.72
90710 68 66 $939.33
0072A 15 15 $607.20
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 48 48 $556.69
36415 Collection of venous blood by venipuncture 194 182 $498.63
90734 137 124 $484.02
90723 454 416 $476.49
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 310 306 $352.46
92551 30 27 $250.24
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43 32 $229.05
92579 15 12 $211.21
90696 31 29 $199.33
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 16 $197.88
92555 16 13 $153.85
90681 29 28 $133.66
90707 193 176 $81.25
36416 41 40 $25.57
90716 154 145 $23.94
90715 30 26 $22.24
90677 119 111 $16.17
90680 355 331 $14.25
90744 29 27 $11.25
90656 67 67 $9.64
90472 Immunization administration, each additional vaccine (list separately) 12 12 $3.40
90698 218 202 $2.02
3075F 16 13 $0.00