Physician
Braxton County Memorial Hospital
Braxton County Memorial Hospital was paid $2.81M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoBRAXTON COUNTY MEMORIAL HOSPITAL
GASSAWAY, WV 26624
GASSAWAY, WV 26624
33aNPI1639278518assigned 09/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.81M
24GClaims45,991
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#19 of 202
Median peer was paid$172K
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 | 5,567 | $308K | |
| 2019 | 3,268 | $170K | |
| 2020 | 6,002 | $365K | |
| 2021 | 8,560 | $474K | |
| 2022 | 8,759 | $539K | |
| 2023 | 7,976 | $529K | |
| 2024incomplete | 5,859 | $425K |
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 | 94% | 22,452 | 19,148 | $2.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 7,334 | 6,345 | $140K |
| 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% | 11,094 | 10,068 | $7K |
| 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% | 133 | 109 | $7K |
| 90686 | <1% | 254 | 239 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 476 | 453 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 263 | 237 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 222 | 187 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,077 | 2,955 | $32.07 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | 24 | $15.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 28 | 24 | $0.00 |
| 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 | 0% | 49 | 48 | $0.00 |
9 more codes
| 81003 | 0% | 57 | $0.00 | |
| 90653 | 0% | 15 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| 96127 | 0% | 100 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 247 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 90694 | 0% | 16 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 108 | $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 officialKNIGHT, KIMBERLY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Braxton County Memorial Hospital | Gassaway, WV | $4.93M |
| Braxton County Memorial Hospital | Gassaway, WV | $2.21M |
| Braxton County Memorial Hospital | Gassaway, WV | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.