Physician
Warren Memorial Hospital, INC.
Warren Memorial Hospital, INC. was paid $1.38M by Medicaid between Oct 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoWARREN MEMORIAL HOSPITAL, INC.
FRONT ROYAL, VA 22630
FRONT ROYAL, VA 22630
33aNPI1568954535assigned 06/05/2018
33bProvider typePulmonary Disease Physician
28Total paid$1.38M
24GClaims31,325
24DCodes billed32
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#2 of 34
Median peer was paid$31K
This provider vs. median45×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more
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 | 335 | $15K | |
| 2019 | 2,016 | $94K | |
| 2020 | 3,316 | $151K | |
| 2021 | 8,008 | $237K | |
| 2022 | 7,679 | $297K | |
| 2023 | 6,318 | $357K | |
| 2024incomplete | 3,653 | $226K |
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 | 44% | 11,368 | 10,316 | $605K |
| 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 | 44% | 8,902 | 8,116 | $601K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 1,001 | 955 | $72K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.5% | 1,274 | 583 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 434 | 374 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 628 | 566 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 554 | 392 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 131 | 119 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | 55 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 322 | 305 | $3K |
| 99442 | <1% | 37 | 31 | $2K | |
| 99307 | <1% | 182 | 140 | $2K |
20 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 134 | $2K |
| 92587 | <1% | 115 | $2K | |
| 20610 | <1% | 42 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 92567 | <1% | 124 | $1K | |
| 31575 | <1% | 14 | $1K | |
| 90686 | <1% | 72 | $1K | |
| 3074F | <1% | 2,784 | $1K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 313 | $917.07 |
| 69210 | <1% | 28 | $916.08 | |
| 3078F | <1% | 1,921 | $450.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $379.55 |
| 90688 | <1% | 16 | $210.87 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $166.87 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 13 | $80.67 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 12 | $75.85 |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | $51.61 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $51.00 |
| 3079F | 0% | 635 | $0.00 | |
| 3075F | 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 officialCHAMBERS, JILL (DELEGATED OFFICIAL)
Parent organizationWARREN MEMORIAL HOSPITAL, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.