Clinic
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $11.00M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
MADISON, WV 25130
MADISON, WV 25130
33aNPI1578513032assigned 05/12/2006
33bProvider typeClinic/Center
28Total paid$11.00M
24GClaims154,773
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in West Virginia
Rank by total paid#3 of 20
Median peer was paid$667K
This provider vs. median16×
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 | 12,570 | $778K | |
| 2019 | 9,928 | $592K | |
| 2020 | 19,947 | $1.18M | |
| 2021 | 26,814 | $1.66M | |
| 2022 | 39,322 | $2.90M | |
| 2023 | 28,431 | $2.30M | |
| 2024incomplete | 17,761 | $1.60M |
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 | 95% | 74,101 | 59,263 | $10.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 34,910 | 29,425 | $263K |
| 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% | 23,310 | 19,857 | $100K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,678 | 2,486 | $68K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 813 | 728 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,061 | 4,012 | $24K |
| 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 | <1% | 2,026 | 1,771 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,333 | 3,029 | $16K |
| 90686 | <1% | 998 | 929 | $15K | |
| 81002 | <1% | 557 | 511 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 889 | 825 | $11K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 144 | 70 | $4K |
27 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,622 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 546 | $828.01 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 19 | $803.04 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,067 | $165.14 |
| 87430 | <1% | 38 | $131.82 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 264 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 452 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 54 | $0.00 |
| 90656 | 0% | 138 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 186 | $0.00 |
| 90732 | 0% | 41 | $0.00 | |
| 0064A | 0% | 18 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 390 | $0.00 |
| 99406 | 0% | 106 | $0.00 | |
| 0001A | 0% | 61 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 119 | $0.00 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 0% | 31 | $0.00 |
| 90480 | 0% | 12 | $0.00 | |
| 20610 | 0% | 12 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 13 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 272 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 365 | $0.00 |
| 90670 | 0% | 14 | $0.00 | |
| 69210 | 0% | 24 | $0.00 | |
| 0002A | 0% | 12 | $0.00 | |
| H2020 | Therapeutic behavioral services, per diem | 0% | 29 | $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 officialUNDERWOOD, VIRGIL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Boone Memorial Hospital, INC | Madison, WV | $4.09M |
| Boone Memorial Hospital, INC | Madison, WV | $1.65M |
| Boone Memorial Hospital, INC | Danville, WV | $1.59M |
| Boone Memorial Hospital, INC | Madison, WV | $875K |
| Boone Memorial Hospital, INC | Comfort, WV | $329K |
| Boone Memorial Hospital, INC | Madison, WV | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.