Hospital
Pocahontas Memorial Hospital
Pocahontas Memorial Hospital was paid $3.57M by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 99283, emergency room visit (moderate) — 16% of everything it billed.
33Billing provider infoPOCAHONTAS MEMORIAL HOSPITAL
BUCKEYE, WV 24924
BUCKEYE, WV 24924
33aNPI1609842251assigned 02/24/2006
33bProvider typeCritical Access Hospital
28Total paid$3.57M
24GClaims55,667
24DCodes billed75
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in West Virginia
Rank by total paid#13 of 24
Median peer was paid$3.57M
This provider vs. median1.0×
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 | 11,108 | $820K | |
| 2019 | 6,482 | $488K | |
| 2020 | 11,596 | $845K | |
| 2021 | 13,274 | $856K | |
| 2022 | 5,079 | $227K | |
| 2023 | 4,685 | $179K | |
| 2024incomplete | 3,443 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 3,699 | 3,042 | $585K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.0% | 1,943 | 1,388 | $287K |
| 80053 | Comprehensive metabolic panel | 7.7% | 5,525 | 4,356 | $275K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.1% | 1,820 | 1,474 | $253K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.9% | 6,415 | 4,597 | $177K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.6% | 1,121 | 1,004 | $163K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 4.1% | 2,102 | 1,633 | $145K |
| 71045 | Radiologic examination, chest; single view | 4.0% | 1,921 | 1,621 | $143K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.8% | 1,914 | 1,260 | $136K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.2% | 243 | 216 | $116K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.3% | 905 | 581 | $81K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.2% | 836 | 652 | $79K |
63 more codes
| 84484 | 2.1% | 1,228 | $75K | |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 5,515 | $73K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.9% | 1,179 | $69K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.9% | 62 | $68K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 1,240 | $63K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.7% | 1,705 | $60K |
| 81001 | 1.6% | 1,424 | $58K | |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 501 | $58K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.6% | 880 | $57K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 813 | $49K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 963 | $48K |
| G0378 | Hospital observation service, per hour | <1% | 165 | $31K |
| 80061 | Lipid panel | <1% | 617 | $29K |
| 83735 | <1% | 1,181 | $26K | |
| 80305 | <1% | 125 | $25K | |
| 83690 | <1% | 414 | $25K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 680 | $21K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 512 | $19K |
| 80306 | <1% | 152 | $17K | |
| 85610 | <1% | 385 | $16K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 759 | $15K |
| 87631 | <1% | 357 | $14K | |
| 82150 | <1% | 113 | $13K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 234 | $11K |
| 96376 | <1% | 259 | $11K | |
| 87040 | <1% | 126 | $11K | |
| 81003 | <1% | 947 | $11K | |
| 84703 | <1% | 111 | $11K | |
| 87428 | <1% | 223 | $11K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 535 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 243 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 356 | $9K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 510 | $8K |
| 87081 | <1% | 160 | $7K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 114 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 66 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 163 | $7K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 95 | $6K |
| 83880 | <1% | 91 | $6K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 151 | $5K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 110 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 209 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 304 | $5K |
| 82550 | <1% | 81 | $4K | |
| 83605 | <1% | 127 | $4K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 20 | $4K |
| 81025 | <1% | 133 | $3K | |
| 85007 | <1% | 477 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 41 | $3K |
| 82607 | <1% | 40 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 18 | $3K |
| 85379 | <1% | 58 | $2K | |
| 73630 | <1% | 17 | $2K | |
| 81002 | <1% | 64 | $2K | |
| 82075 | <1% | 31 | $2K | |
| 96367 | <1% | 21 | $2K | |
| 74018 | <1% | 14 | $1K | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 27 | $1K |
| 85730 | <1% | 20 | $715.35 | |
| 94618 | <1% | 13 | $571.20 | |
| 85652 | <1% | 12 | $245.70 | |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 16 | $202.49 |
| 84550 | <1% | 16 | $200.17 |
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 officialSTARCHER, SHANNON (PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Pocahontas Memorial Hospital | Buckeye, WV | $3.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.