Clinic
Hospital Development Co
Hospital Development Co was paid $10.11M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoHOSPITAL DEVELOPMENT CO
SPENCER, WV 25276
SPENCER, WV 25276
33aNPI1790745172assigned 03/28/2006
33bProvider typeRural Health Clinic/Center
28Total paid$10.11M
24GClaims122,167
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#1 of 49
Median peer was paid$956K
This provider vs. median11×
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 | 5,394 | $429K | |
| 2019 | 7,207 | $467K | |
| 2020 | 14,532 | $680K | |
| 2021 | 19,387 | $1.71M | |
| 2022 | 22,403 | $2.23M | |
| 2023 | 30,743 | $2.20M | |
| 2024incomplete | 22,501 | $2.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 51,342 | 39,175 | $9.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 23,088 | 18,059 | $111K |
| 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 | <1% | 13,599 | 11,469 | $68K |
| 3008F | <1% | 2,638 | 2,263 | $46K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,075 | 1,005 | $10K |
| 3074F | <1% | 420 | 374 | $10K | |
| 1159F | <1% | 2,460 | 2,195 | $10K | |
| 1220F | <1% | 2,307 | 2,073 | $9K | |
| G0008 | Administration of influenza virus vaccine | <1% | 138 | 136 | $9K |
| 3079F | <1% | 352 | 324 | $8K | |
| 3078F | <1% | 416 | 377 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,161 | 1,101 | $7K |
41 more codes
| 90686 | <1% | 320 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 398 | $5K |
| 3075F | <1% | 234 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 390 | $5K |
| 3077F | <1% | 258 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 270 | $4K |
| 81003 | <1% | 148 | $3K | |
| 3044F | <1% | 376 | $3K | |
| 99284 | Emergency room visit (serious) | <1% | 30 | $3K |
| 3080F | <1% | 128 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 88 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 197 | $970.07 |
| 87449 | <1% | 638 | $10.78 | |
| G8482 | Influenza immunization administered or previously received | 0% | 277 | $0.00 |
| 4040F | 0% | 1,651 | $0.00 | |
| 4004F | 0% | 1,645 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 250 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,833 | $0.00 |
| 3046F | 0% | 680 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 73 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 93 | $0.00 |
| 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 | 0% | 668 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,028 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 419 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 46 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 117 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 78 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 160 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 30 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,053 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 744 | $0.00 |
| 1036F | 0% | 4,801 | $0.00 | |
| 20610 | 0% | 227 | $0.00 | |
| 1123F | 0% | 2,303 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 128 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 179 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 20 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 141 | $0.00 |
| 99495 | 0% | 25 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 15 | $0.00 |
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 officialBENTZ, DOUG (CEO)
Parent organizationROANE GENERAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Hospital Development Co | Spencer, WV | $14.56M |
| Hospital Development Co | Spencer, WV | $7.52M |
| Hospital Development Co | Left Hand, WV | $1.06M |
| Hospital Development Co | Spencer, WV | $727K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.