Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHENANDOAH MEMORIAL HOSPITAL INC.

NPI: 1740711472 · NEW MARKET, VA 22844 · Urology Physician · NPI assigned 03/24/2017

$936K
Total Medicaid Paid
20,817
Total Claims
18,178
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAKER, RENEE (MANGER, INSURANCE CREDENTIALING)
NPI Enumeration Date03/24/2017

Related Entities

Other providers sharing the same authorized official: BAKER, RENEE

ProviderCityStateTotal Paid
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $4.22M
SHENANDOAH MEMORIAL HOSPITAL INC. WOODSTOCK VA $2.49M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $1.06M
SHENANDOAH MEMORIAL HOSPITAL INC. WOODSTOCK VA $384K
SHENANDOAH MEMORIAL HOSPITAL INC. MOUNT JACKSON VA $373K
VALLEY PHYSICIAN ENTERPRISE, INC. FRONT ROYAL VA $171K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,525 $41K
2019 2,628 $136K
2020 1,397 $82K
2021 3,226 $115K
2022 4,883 $173K
2023 3,804 $201K
2024 3,354 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,987 6,943 $572K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,903 5,947 $330K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 373 312 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 39 $4K
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 246 213 $3K
90686 128 123 $2K
3074F 1,713 1,514 $2K
3078F 1,536 1,376 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 76 70 $1K
3079F 755 681 $1K
36415 Collection of venous blood by venipuncture 427 388 $825.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 71 $622.30
3075F 271 252 $525.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 82 74 $491.44
3077F 173 148 $325.00
3080F 15 14 $100.00