Physician
Reynolds Memorial Hospital, INC
Reynolds Memorial Hospital, INC was paid $11.45M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoREYNOLDS MEMORIAL HOSPITAL, INC
GLEN DALE, WV 26038
GLEN DALE, WV 26038
33aNPI1518068014assigned 09/26/2006
33bProvider typeAnesthesiology Physician
28Total paid$11.45M
24GClaims223,119
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in West Virginia
Rank by total paid#3 of 19
Median peer was paid$529K
This provider vs. median22×
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 | 4,613 | $413K | |
| 2019 | 9,670 | $644K | |
| 2020 | 25,441 | $1.66M | |
| 2021 | 36,368 | $1.63M | |
| 2022 | 53,651 | $2.47M | |
| 2023 | 54,008 | $2.57M | |
| 2024incomplete | 39,368 | $2.06M |
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 | 28% | 58,376 | 48,813 | $3.20M |
| 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 | 22% | 34,231 | 30,637 | $2.47M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 14,985 | 13,735 | $1.28M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.4% | 4,020 | 3,716 | $504K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.8% | 8,473 | 7,788 | $436K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 5,564 | 5,066 | $363K |
| 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 | 2.7% | 3,211 | 2,903 | $309K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 6,749 | 2,369 | $272K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.3% | 2,742 | 2,345 | $259K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 2,645 | 2,422 | $195K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 2,040 | 1,823 | $174K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 2,673 | 2,425 | $172K |
100 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,738 | $133K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 3,065 | $123K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 7,625 | $115K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,010 | $108K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,470 | $97K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,130 | $93K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,034 | $86K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,110 | $82K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,757 | $75K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 641 | $73K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,480 | $69K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,109 | $68K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,609 | $67K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 835 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,510 | $52K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 698 | $42K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 323 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,275 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,535 | $36K |
| 99205 | Prolong outpt/office vis | <1% | 202 | $28K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,825 | $26K |
| 90686 | <1% | 2,114 | $21K | |
| 99385 | <1% | 223 | $19K | |
| 87400 | <1% | 698 | $16K | |
| 90651 | <1% | 469 | $16K | |
| 99401 | <1% | 630 | $15K | |
| 87807 | <1% | 1,376 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 92 | $12K |
| 90715 | <1% | 540 | $11K | |
| 99406 | <1% | 1,099 | $10K | |
| 87430 | <1% | 855 | $10K | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 1,150 | $9K |
| 59430 | <1% | 41 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,987 | $9K |
| 90670 | <1% | 1,099 | $8K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 52 | $8K |
| 90474 | <1% | 937 | $7K | |
| 73630 | <1% | 508 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 124 | $7K |
| 81002 | <1% | 1,370 | $6K | |
| 90671 | <1% | 602 | $6K | |
| 99386 | <1% | 57 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 31 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 232 | $5K |
| 59025 | Fetal non-stress test | <1% | 190 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 196 | $4K |
| 99221 | <1% | 78 | $4K | |
| 99173 | <1% | 1,414 | $4K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 46 | $3K |
| 92551 | <1% | 108 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 225 | $3K |
| 73610 | <1% | 168 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 68 | $3K |
| 99460 | <1% | 26 | $3K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 268 | $2K |
| 96127 | <1% | 745 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,315 | $1K |
| 99495 | <1% | 13 | $1K | |
| 81025 | <1% | 186 | $1K | |
| 20610 | <1% | 30 | $1K | |
| 74018 | <1% | 99 | $1K | |
| 90746 | <1% | 16 | $1K | |
| 99219 | <1% | 13 | $1K | |
| 99384 | <1% | 12 | $1K | |
| 90653 | <1% | 19 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $1K |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 86 | $974.72 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 105 | $950.29 |
| 99383 | <1% | 12 | $940.39 | |
| 99381 | <1% | 13 | $872.31 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $740.05 |
| 99217 | <1% | 16 | $730.23 | |
| 80053 | Comprehensive metabolic panel | <1% | 78 | $593.36 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 73 | $443.93 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 76 | $427.12 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 925 | $340.05 |
| 72110 | <1% | 12 | $321.84 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 60 | $319.16 |
| 73130 | <1% | 23 | $302.69 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 288 | $262.58 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 74 | $246.28 |
| 90723 | <1% | 1,120 | $241.59 | |
| 73110 | <1% | 12 | $222.79 | |
| 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% | 445 | $182.59 |
| 90680 | <1% | 982 | $151.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 73 | $120.64 |
| 81003 | <1% | 57 | $112.34 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 23 | $76.68 |
| 90648 | <1% | 1,620 | $76.58 | |
| 90734 | <1% | 306 | $75.31 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 40 | $45.66 |
| 90710 | <1% | 66 | $39.60 | |
| 90656 | <1% | 185 | $24.59 | |
| 90696 | 0% | 47 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 28 | $0.00 |
| 90716 | 0% | 106 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90633 | 0% | 710 | $0.00 | |
| 90700 | 0% | 94 | $0.00 | |
| 90707 | 0% | 89 | $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 officialHESS, DAVID (CEO)
| Provider | Location | Paid |
|---|---|---|
| Fayette Physician Network INC | Friendsville, MD | $3.33M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $2.54M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $2.04M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $915K |
| Wetzel County Hospital, INC. | New Martinsville, WV | $321K |
| Cgi Anesthesia Associates LLC | Cincinnati, OH | $36K |
| David E Hess M.D., INC. | Bridgeport, WV | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.