Clinic
Rainelle Medical Center, INC
Rainelle Medical Center, INC was paid $1.17M by Medicaid between Oct 2022 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoRAINELLE MEDICAL CENTER, INC
LEWISBURG, WV 24901
LEWISBURG, WV 24901
33aNPI1679223390assigned 03/25/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.17M
24GClaims7,555
24DCodes billed11
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#77 of 205
Median peer was paid$521K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2022 | 332 | $61K | |
| 2023 | 3,607 | $495K | |
| 2024incomplete | 3,616 | $615K |
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 | 99% | 4,505 | 3,354 | $1.16M |
| 87428 | <1% | 254 | 190 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,681 | 1,372 | $540.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | 28 | $327.22 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 696 | 428 | $93.40 |
| 86756 | <1% | 41 | 30 | $71.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 13 | $24.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 60 | 39 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 227 | 193 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 12 | 12 | $0.00 |
| 92551 | 0% | 12 | 12 | $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 officialBENNETT, DEBRA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center INC | Rainelle, WV | $14.26M |
| Rainelle Medical Center, INC. | Maxwelton, WV | $1.70M |
| Rainelle Medical Center, INC. | White Sulphur Springs, WV | $1.21M |
| Rainelle Medical Center INC | Meadow Bridge, WV | $735K |
| Rainelle Medical Center, INC. | Alderson, WV | $667K |
| Rainelle Medical Center INC | Rainelle, WV | $206K |
| Rainelle Medical Center, INC. | Rainelle, WV | $107K |
| Rainelle Medical Center, INC | Lewisburg, WV | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.