BOONE MEMORIAL HOSPITAL, INC
NPI: 1578513032
· MADISON, WV 25130
· 261Q00000X
$11.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
17,761 |
$1.60M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
74,101 |
59,263 |
$10.42M |
| 99213 |
|
34,910 |
29,425 |
$263K |
| 99214 |
|
23,310 |
19,857 |
$100K |
| 87880 |
|
2,678 |
2,486 |
$68K |
| 99203 |
|
813 |
728 |
$37K |
| 96372 |
|
5,061 |
4,012 |
$24K |
| 99204 |
|
2,026 |
1,771 |
$20K |
| 99212 |
|
3,333 |
3,029 |
$16K |
| 90686 |
|
998 |
929 |
$15K |
| 81002 |
|
557 |
511 |
$11K |
| 87804 |
|
889 |
825 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
144 |
70 |
$4K |
| 99202 |
|
48 |
46 |
$3K |
| 90837 |
|
1,622 |
1,154 |
$1K |
| 90471 |
|
546 |
522 |
$828.01 |
| 80307 |
|
19 |
18 |
$803.04 |
| 90792 |
|
1,067 |
853 |
$165.14 |
| 87430 |
|
38 |
38 |
$131.82 |
| J1885 |
Ketorolac tromethamine inj |
264 |
235 |
$0.00 |
| 87426 |
|
452 |
437 |
$0.00 |
| G0008 |
Admin influenza virus vac |
54 |
51 |
$0.00 |
| 90656 |
|
138 |
135 |
$0.00 |
| 99309 |
|
186 |
165 |
$0.00 |
| 90732 |
|
41 |
37 |
$0.00 |
| 0064A |
|
18 |
18 |
$0.00 |
| 99308 |
|
390 |
233 |
$0.00 |
| 99406 |
|
106 |
106 |
$0.00 |
| 0001A |
|
61 |
58 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
119 |
109 |
$0.00 |
| J2360 |
Orphenadrine injection |
31 |
28 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 20610 |
|
12 |
12 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
13 |
13 |
$0.00 |
| 93005 |
|
272 |
248 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
365 |
324 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 69210 |
|
24 |
17 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| H2020 |
Ther behav svc, per diem |
29 |
21 |
$0.00 |