Medicaid Provider Spending

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

WINCHESTER MEDICAL CENTER, INC.

NPI: 1760433791 · WINCHESTER, VA 22601 · Professional Counselor · NPI assigned 05/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$9.98M
Total Medicaid Paid
206,348
Total Claims
173,337
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent OrganizationWINCHESTER MEDICAL CENTER,INC.
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,051 $624K
2019 26,188 $1.24M
2020 22,725 $1.17M
2021 31,689 $1.43M
2022 35,625 $1.64M
2023 42,024 $2.09M
2024 33,046 $1.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 47,298 43,512 $4.36M
99284 Emergency department visit for the evaluation and management, high severity 30,483 28,232 $1.89M
99283 Emergency department visit for the evaluation and management, moderate severity 11,574 10,701 $437K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,873 7,498 $375K
99232 Subsequent hospital care, per day, moderate complexity 10,107 3,710 $352K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,413 4,323 $305K
90792 Psychiatric diagnostic evaluation with medical services 2,385 2,142 $300K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,338 4,148 $295K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,952 8,155 $284K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,879 2,786 $242K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 49,905 40,323 $221K
99239 Hospital discharge day management, more than 30 minutes 2,768 2,530 $165K
76819 Fetal biophysical profile; without non-stress testing 5,328 3,634 $157K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,871 4,437 $135K
99233 Prolong inpt eval add15 m 2,047 805 $108K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,940 1,902 $93K
99238 Hospital discharge day management, 30 minutes or less 1,401 1,211 $62K
90791 Psychiatric diagnostic evaluation 614 553 $48K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 307 270 $36K
99460 470 421 $27K
99215 Prolong outpt/office vis 384 313 $19K
00170 Anesthesia for intraoral procedures, including biopsy 201 182 $12K
99222 Initial hospital care, per day, moderate complexity 168 156 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 168 152 $8K
76801 223 216 $8K
76813 154 148 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 327 274 $6K
76820 268 148 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 123 110 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 78 $3K
76825 61 52 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 24 24 $1K
76827 61 52 $923.69
99462 13 12 $391.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 50 48 $271.54
99401 28 28 $249.88
93325 59 51 $82.22