Clinic
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $4.09M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
MADISON, WV 25130
MADISON, WV 25130
33aNPI1801039565assigned 04/10/2009
33bProvider typeRural Health Clinic/Center
28Total paid$4.09M
24GClaims65,834
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#8 of 49
Median peer was paid$956K
This provider vs. median4.3×
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 | 7,728 | $323K | |
| 2019 | 5,480 | $259K | |
| 2020 | 10,494 | $686K | |
| 2021 | 10,432 | $672K | |
| 2022 | 13,749 | $947K | |
| 2023 | 10,488 | $717K | |
| 2024incomplete | 7,463 | $490K |
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 | 95% | 33,871 | 28,447 | $3.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 14,833 | 13,344 | $86K |
| 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 | 1.2% | 9,306 | 8,579 | $50K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 458 | 447 | $13K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 272 | 263 | $12K |
| 90686 | <1% | 699 | 651 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,038 | 793 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,349 | 655 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 26 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 447 | 421 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 744 | 586 | $852.15 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,130 | 1,035 | $400.15 |
20 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 147 | $251.54 |
| 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% | 254 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 0% | 60 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 345 | $0.00 |
| 80305 | 0% | 13 | $0.00 | |
| 81002 | 0% | 29 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 44 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 17 | $0.00 |
| 99401 | 0% | 31 | $0.00 | |
| 0002A | 0% | 14 | $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% | 54 | $0.00 |
| 0064A | 0% | 35 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 415 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 24 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 83 | $0.00 |
| 0001A | 0% | 27 | $0.00 | |
| 90656 | 0% | 13 | $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 officialUNDERWOOD, VIRGIL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Boone Memorial Hospital, INC | Madison, WV | $11.00M |
| Boone Memorial Hospital, INC | Madison, WV | $1.65M |
| Boone Memorial Hospital, INC | Danville, WV | $1.59M |
| Boone Memorial Hospital, INC | Madison, WV | $875K |
| Boone Memorial Hospital, INC | Comfort, WV | $329K |
| Boone Memorial Hospital, INC | Madison, WV | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.