Physician
Shenandoah Memorial Hospital INC.
Shenandoah Memorial Hospital INC. was paid $936K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoSHENANDOAH MEMORIAL HOSPITAL INC.
NEW MARKET, VA 22844
NEW MARKET, VA 22844
33aNPI1740711472assigned 03/24/2017
33bProvider typeUrology Physician
28Total paid$936K
24GClaims20,817
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Virginia
Rank by total paid#4 of 28
Median peer was paid$8K
This provider vs. median113×
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 | 1,525 | $41K | |
| 2019 | 2,628 | $136K | |
| 2020 | 1,397 | $82K | |
| 2021 | 3,226 | $115K | |
| 2022 | 4,883 | $173K | |
| 2023 | 3,804 | $201K | |
| 2024incomplete | 3,354 | $187K |
Box 24 · Service lines
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 | 61% | 7,987 | 6,943 | $572K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 6,903 | 5,947 | $330K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 373 | 312 | $14K |
| 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% | 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 | <1% | 246 | 213 | $3K |
| 90686 | <1% | 128 | 123 | $2K | |
| 3074F | <1% | 1,713 | 1,514 | $2K | |
| 3078F | <1% | 1,536 | 1,376 | $2K | |
| 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% | 13 | 13 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | 70 | $1K |
| 3079F | <1% | 755 | 681 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 427 | 388 | $825.84 |
5 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $622.30 |
| 3075F | <1% | 271 | $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 | <1% | 82 | $491.44 |
| 3077F | <1% | 173 | $325.00 | |
| 3080F | <1% | 15 | $100.00 |
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 officialBAKER, RENEE (MANGER, INSURANCE CREDENTIALING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.