Clinic
Rainelle Medical Center, INC.
Rainelle Medical Center, INC. was paid $1.70M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoRAINELLE MEDICAL CENTER, INC.
MAXWELTON, WV 24957
MAXWELTON, WV 24957
33aNPI1528417946assigned 06/07/2016
33bProvider typeClinic/Center
28Total paid$1.70M
24GClaims21,008
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in West Virginia
Rank by total paid#5 of 20
Median peer was paid$667K
This provider vs. median2.5×
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 | 1,000 | $79K | |
| 2019 | 2,080 | $106K | |
| 2020 | 3,488 | $213K | |
| 2021 | 3,624 | $305K | |
| 2022 | 4,605 | $393K | |
| 2023 | 3,866 | $385K | |
| 2024incomplete | 2,345 | $215K |
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 | 97% | 10,445 | 8,159 | $1.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 3,589 | 3,110 | $22K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 115 | 97 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,119 | 1,742 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 141 | 114 | $4K |
| 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% | 992 | 867 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 812 | 721 | $3K |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $726.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 151 | 127 | $717.24 |
| 87428 | <1% | 25 | 24 | $392.68 | |
| 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% | 2,128 | 1,735 | $223.14 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | 16 | $106.55 |
8 more codes
| 90686 | <1% | 30 | $44.12 | |
| 81003 | <1% | 29 | $14.51 | |
| 90837 | Psychotherapy session, about an hour | 0% | 24 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 71 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 59 | $0.00 |
| 99000 | 0% | 218 | $0.00 | |
| 99441 | 0% | 13 | $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 officialBENNETT, DEBRA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center INC | Rainelle, WV | $14.26M |
| Rainelle Medical Center, INC. | White Sulphur Springs, WV | $1.21M |
| Rainelle Medical Center, INC | Lewisburg, WV | $1.17M |
| Rainelle Medical Center INC | Meadow Bridge, WV | $735K |
| Rainelle Medical Center, INC. | Alderson, WV | $667K |
| Rainelle Medical Center INC | Rainelle, WV | $206K |
| Rainelle Medical Center, INC. | Rainelle, WV | $107K |
| Rainelle Medical Center, INC | Lewisburg, WV | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.