Clinic
Potomac Valley Hospital of W Va , INC
Potomac Valley Hospital of W Va , INC was paid $859K by Medicaid between Aug 2020 and Dec 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPOTOMAC VALLEY HOSPITAL OF W VA , INC
KEYSER, WV 26726
KEYSER, WV 26726
33aNPI1467090449assigned 12/20/2019
33bProvider typeRural Health Clinic/Center
28Total paid$859K
24GClaims16,362
24DCodes billed9
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#27 of 49
Median peer was paid$956K
This provider vs. median0.9×
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 | 1,569 | $56K | |
| 2021 | 4,189 | $224K | |
| 2022 | 3,820 | $203K | |
| 2023 | 3,793 | $196K | |
| 2024incomplete | 2,991 | $180K |
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 | 98% | 9,486 | 8,066 | $846K |
| 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 | 1.5% | 5,348 | 4,716 | $13K |
| 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% | 1,092 | 944 | $314.84 |
| 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% | 272 | 263 | $86.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 54 | 54 | $0.00 |
| 96127 | 0% | 13 | 13 | $0.00 | |
| 90686 | 0% | 31 | 31 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 53 | 52 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | 12 | $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 officialWELLS, SUE (SENIOR DIRECTOR OF CLINIC OPERATION)
Parent organizationPOTOMAC VALLEY HOSPITAL OF W VA , INC
| Provider | Location | Paid |
|---|---|---|
| Potomac Valley Hospital of W Va , INC | Keyser, WV | $2.32M |
| Potomac Valley Hospital of W Va , INC | Fort Ashby, WV | $411K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.