Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WARREN MEMORIAL HOSPITAL, INC.

NPI: 1568954535 · FRONT ROYAL, VA 22630 · Pulmonary Disease Physician · NPI assigned 06/05/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$1.38M
Total Medicaid Paid
31,325
Total Claims
27,814
Beneficiaries
32
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (DELEGATED OFFICIAL)
Parent OrganizationWARREN MEMORIAL HOSPITAL, INC.
NPI Enumeration Date06/05/2018

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 335 $15K
2019 2,016 $94K
2020 3,316 $151K
2021 8,008 $237K
2022 7,679 $297K
2023 6,318 $357K
2024 3,653 $226K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,368 10,316 $605K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,902 8,116 $601K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,001 955 $72K
99308 Subsequent nursing facility care, per day, straightforward 1,274 583 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 434 374 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 628 566 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 554 392 $10K
99215 Prolong outpt/office vis 131 119 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 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 322 305 $3K
99442 37 31 $2K
99307 182 140 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 134 101 $2K
92587 115 112 $2K
20610 42 40 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K
92567 124 119 $1K
31575 14 14 $1K
90686 72 70 $1K
3074F 2,784 2,520 $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 313 272 $917.07
69210 28 26 $916.08
3078F 1,921 1,761 $450.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 118 116 $379.55
90688 16 16 $210.87
J1040 Injection, methylprednisolone acetate, 80 mg 15 14 $166.87
J1010 Injection, methylprednisolone acetate, 1 mg 13 12 $80.67
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $75.85
36415 Collection of venous blood by venipuncture 25 25 $51.61
90460 Immunization administration through 18 years of age via any route, first or only component 27 25 $51.00
3079F 635 579 $0.00
3075F 13 13 $0.00