Clinic
Rainelle Medical Center, INC.
Rainelle Medical Center, INC. was paid $801K by Medicaid between Oct 2018 and Nov 2024, across 11 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 infoRAINELLE MEDICAL CENTER, INC.
LEWISBURG, WV 24901
LEWISBURG, WV 24901
33aNPI1497244412assigned 05/04/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$801K
24GClaims15,702
24DCodes billed11
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#88 of 205
Median peer was paid$521K
This provider vs. median1.5×
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 | 283 | $2K | |
| 2019 | 3,434 | $83K | |
| 2020 | 2,873 | $97K | |
| 2021 | 2,701 | $139K | |
| 2022 | 2,462 | $165K | |
| 2023 | 2,214 | $162K | |
| 2024incomplete | 1,735 | $153K |
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% | 6,351 | 4,873 | $782K |
| 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% | 2,633 | 2,220 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,619 | 1,403 | $5K |
| 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% | 1,232 | 988 | $4K |
| 99000 | <1% | 1,103 | 972 | $3K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,443 | 1,874 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | 26 | $74.91 |
| 90686 | 0% | 25 | 25 | $0.00 | |
| 98960 | 0% | 27 | 18 | $0.00 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 215 | 102 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 19 | 17 | $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 officialDAVIDSON-BENNETT, DEBRA (CREDENTIALING SPECIALIST)
Parent organizationRAINELLE MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center, INC. | Hico, WV | $1.53M |
| Rainelle Medical Center, INC | Lewisburg, WV | $1.25M |
| Rainelle Medical Center, INC | Lewisburg, WV | $503K |
| Rainelle Medical Center INC | Hinton, WV | $318K |
| Rainelle Medical Center, INC. | Hillsboro, WV | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.