Physician
Raleigh General Hospital LLC
Raleigh General Hospital LLC was paid $916K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoRALEIGH GENERAL HOSPITAL LLC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1619307402assigned 11/15/2013
33bProvider typeGastroenterology Physician
28Total paid$916K
24GClaims16,006
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in West Virginia
Rank by total paid#3 of 15
Median peer was paid$99K
This provider vs. median9.2×
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 | 1,662 | $121K | |
| 2019 | 602 | $35K | |
| 2020 | 1,774 | $104K | |
| 2021 | 2,918 | $107K | |
| 2022 | 2,931 | $161K | |
| 2023 | 3,752 | $220K | |
| 2024incomplete | 2,367 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 4,552 | 4,002 | $277K |
| 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 | 24% | 2,777 | 2,508 | $222K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,618 | 4,085 | $218K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.9% | 679 | 615 | $63K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 784 | 231 | $38K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.7% | 151 | 139 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 230 | 218 | $15K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 87 | 85 | $10K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.1% | 58 | 53 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 117 | 104 | $9K |
| 90746 | <1% | 158 | 96 | $7K | |
| 99152 | <1% | 805 | 756 | $6K |
11 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 73 | $5K |
| 43235 | <1% | 56 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 38 | $3K |
| 90632 | <1% | 43 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 51 | $905.58 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 156 | $696.00 |
| 99153 | Mod sedat endo service >5yrs | <1% | 163 | $434.49 |
| 91200 | <1% | 28 | $216.30 | |
| 80053 | Comprehensive metabolic panel | <1% | 16 | $133.00 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 32 | $15.37 |
| 1159F | 0% | 334 | $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 officialLAWRRENCE, CHARLOTTE (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Ashley Valley Medical Center LLC | Vernal, UT | $4.44M |
| Athens Physicians Practice, LLC | Athens, TN | $667K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.