Behavioral
Winchester Medical Center, INC.
Winchester Medical Center, INC. was paid $9.98M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.
33Billing provider infoWINCHESTER MEDICAL CENTER, INC.
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1760433791assigned 05/15/2006
33bProvider typeProfessional Counselor
28Total paid$9.98M
24GClaims206,348
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Virginia
Rank by total paid#4 of 364
Median peer was paid$52K
This provider vs. median192×
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.
Entity ProliferationAuthorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 33,046 | $1.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 44% | 47,298 | 43,512 | $4.36M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 30,483 | 28,232 | $1.89M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.4% | 11,574 | 10,701 | $437K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 8,873 | 7,498 | $375K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 10,107 | 3,710 | $352K |
| 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 | 3.1% | 5,413 | 4,323 | $305K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.0% | 2,385 | 2,142 | $300K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.0% | 4,338 | 4,148 | $295K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.8% | 8,952 | 8,155 | $284K |
| 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 | 2.4% | 2,879 | 2,786 | $242K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 49,905 | 40,323 | $221K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 2,768 | 2,530 | $165K |
25 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | 1.6% | 5,328 | $157K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.4% | 4,871 | $135K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.1% | 2,047 | $108K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,940 | $93K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,401 | $62K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 614 | $48K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 307 | $36K |
| 99460 | <1% | 470 | $27K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 384 | $19K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 201 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 168 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 168 | $8K |
| 76801 | <1% | 223 | $8K | |
| 76813 | <1% | 154 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 327 | $6K |
| 76820 | <1% | 268 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 123 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 83 | $3K |
| 76825 | <1% | 61 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 24 | $1K |
| 76827 | <1% | 61 | $923.69 | |
| 99462 | <1% | 13 | $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) | <1% | 50 | $271.54 |
| 99401 | <1% | 28 | $249.88 | |
| 93325 | <1% | 59 | $82.22 |
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 officialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent organizationWINCHESTER MEDICAL CENTER,INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.