Shenandoah Memorial Hospital, INC.
Shenandoah Memorial Hospital, INC. was paid $657K by Medicaid between Apr 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
STRASBURG, VA 22657
Next to other Rural Health Clinic/Center providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 195 | $7K | |
| 2019 | 728 | $40K | |
| 2020 | 1,423 | $83K | |
| 2021 | 3,480 | $103K | |
| 2022 | 5,688 | $176K | |
| 2023 | 2,958 | $135K | |
| 2024incomplete | 1,823 | $113K |
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 | 81% | 7,352 | 6,792 | $531K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,910 | 1,766 | $102K |
| 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 | <1% | 55 | 52 | $6K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 552 | 537 | $6K |
| 3074F | <1% | 2,324 | 2,152 | $2K | |
| 3079F | <1% | 1,242 | 1,176 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 14 | $2K |
| 3078F | <1% | 1,569 | 1,468 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 452 | 416 | $1K |
| 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% | 13 | 12 | $787.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | 19 | $689.51 |
| 3075F | <1% | 334 | 313 | $600.00 |
4 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.