Physician
Montgomery General Hospital, INC
Montgomery General Hospital, INC was paid $2.28M by Medicaid between Jan 2021 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMONTGOMERY GENERAL HOSPITAL, INC
MONTGOMERY, WV 25136
MONTGOMERY, WV 25136
33aNPI1548890221assigned 01/22/2020
33bProvider typePediatrics Physician
28Total paid$2.28M
24GClaims51,931
24DCodes billed25
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#10 of 57
Median peer was paid$409K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2021 | 12,012 | $151K | |
| 2022 | 15,623 | $762K | |
| 2023 | 12,392 | $666K | |
| 2024incomplete | 11,904 | $695K |
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 | 100% | 22,285 | 16,036 | $2.27M |
| 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% | 13,781 | 10,414 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 675 | 609 | $140.84 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,025 | 981 | $72.74 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 493 | 472 | $15.62 |
| 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% | 733 | 612 | $5.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 678 | 638 | $5.00 |
| 81002 | <1% | 150 | 143 | $3.13 | |
| 99173 | <1% | 1,634 | 1,515 | $1.87 | |
| 99384 | 0% | 395 | 359 | $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% | 134 | 122 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,656 | 2,513 | $0.00 |
13 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,102 | $0.00 |
| 99441 | 0% | 295 | $0.00 | |
| 81000 | 0% | 299 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 39 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 977 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,468 | $0.00 |
| 99442 | 0% | 584 | $0.00 | |
| 96160 | 0% | 160 | $0.00 | |
| 92552 | 0% | 2,054 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 163 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 107 | $0.00 |
| 81025 | 0% | 30 | $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 officialMURRAY, SHERRI (CFO)
Parent organizationMONTGOMERY GENERAL HOSPITAL, INC
| Provider | Location | Paid |
|---|---|---|
| Montgomery General Hospital, INC | Montgomery, WV | $9.44M |
| Montgomery General Hospital, INC | Montgomery, WV | $582K |
| Montgomery Gen Cahgrp | Montgomery, WV | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.