Clinic
Grafton City Hospital INC
Grafton City Hospital INC was paid $121K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoGRAFTON CITY HOSPITAL INC
FLEMINGTON, WV 26347
FLEMINGTON, WV 26347
33aNPI1679766018assigned 08/20/2007
33bProvider typeRural Health Clinic/Center
28Total paid$121K
24GClaims2,767
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#42 of 49
Median peer was paid$956K
This provider vs. median0.1×
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 | 1,001 | $46K | |
| 2019 | 174 | $7K | |
| 2020 | 547 | $26K | |
| 2021 | 719 | $25K | |
| 2022 | 326 | $17K |
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 | 83% | 1,523 | 1,308 | $101K |
| 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 | 11% | 781 | 689 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 251 | 212 | $6K |
| 1159F | 0% | 27 | 27 | $0.00 | |
| 3078F | 0% | 13 | 12 | $0.00 | |
| 3074F | 0% | 30 | 26 | $0.00 | |
| 3008F | 0% | 128 | 115 | $0.00 | |
| 1034F | 0% | 14 | 13 | $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 officialSHAW, PATRICK (CEO)
| Provider | Location | Paid |
|---|---|---|
| Santee School District | Santee, CA | $790K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.