Physician
Wetzel County Hospital, INC.
Wetzel County Hospital, INC. was paid $2.04M by Medicaid between Jul 2020 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoWETZEL COUNTY HOSPITAL, INC.
NEW MARTINSVILLE, WV 26155
NEW MARTINSVILLE, WV 26155
33aNPI1518590033assigned 02/13/2020
33bProvider typeFamily Medicine Physician
28Total paid$2.04M
24GClaims44,454
24DCodes billed46
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#26 of 202
Median peer was paid$172K
This provider vs. median12×
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 | 3,961 | $97K | |
| 2021 | 8,559 | $321K | |
| 2022 | 10,265 | $487K | |
| 2023 | 12,280 | $631K | |
| 2024incomplete | 9,389 | $506K |
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 | 24% | 9,565 | 8,392 | $488K |
| 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 | 20% | 6,289 | 5,725 | $418K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 4,424 | 4,044 | $352K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 4,403 | 4,108 | $215K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 1,191 | 1,130 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,175 | 1,054 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 947 | 894 | $67K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.0% | 501 | 455 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 654 | 609 | $50K |
| 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 | 2.4% | 494 | 461 | $49K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 1,983 | 1,862 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 3,179 | 2,980 | $34K |
34 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.4% | 429 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 828 | $12K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 338 | $10K |
| 92551 | <1% | 1,076 | $9K | |
| 90670 | <1% | 735 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 58 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 935 | $4K |
| 90715 | <1% | 179 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 699 | $3K |
| 99383 | <1% | 54 | $3K | |
| 90686 | <1% | 452 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 459 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 219 | $2K |
| 99384 | <1% | 32 | $2K | |
| 90474 | <1% | 211 | $2K | |
| 90653 | <1% | 98 | $1K | |
| 90651 | <1% | 57 | $1K | |
| 90746 | <1% | 15 | $1K | |
| 99173 | <1% | 391 | $943.55 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 74 | $546.75 |
| 90461 | <1% | 44 | $517.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $363.53 |
| 90656 | <1% | 56 | $348.57 | |
| 90723 | <1% | 226 | $89.59 | |
| 90734 | <1% | 158 | $77.78 | |
| 90648 | <1% | 658 | $48.00 | |
| 90633 | <1% | 279 | $26.09 | |
| 90473 | <1% | 14 | $11.05 | |
| 90680 | 0% | 398 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90671 | 0% | 180 | $0.00 | |
| 90710 | 0% | 155 | $0.00 | |
| 90700 | 0% | 27 | $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 (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Reynolds Memorial Hospital, INC | Glen Dale, WV | $11.45M |
| Fayette Physician Network INC | Friendsville, MD | $3.33M |
| Wetzel County Hospital, INC. | New Martinsville, WV | $2.54M |
| 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.