Medicaid Provider Spending

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

BOONE MEMORIAL HOSPITAL, INC

NPI: 1801039565 · MADISON, WV 25130 · Rural Health Clinic/Center · NPI assigned 04/10/2009

$4.09M
Total Medicaid Paid
65,834
Total Claims
56,782
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUNDERWOOD, VIRGIL (CEO)
NPI Enumeration Date04/10/2009

Related Entities

Other providers sharing the same authorized official: UNDERWOOD, VIRGIL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,463 $490K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 33,871 28,447 $3.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,833 13,344 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,306 8,579 $50K
99282 Emergency department visit for the evaluation and management, low to moderate severity 458 447 $13K
99283 Emergency department visit for the evaluation and management, moderate severity 272 263 $12K
90686 699 651 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,038 793 $5K
99308 Subsequent nursing facility care, per day, straightforward 1,349 655 $2K
99284 Emergency department visit for the evaluation and management, high severity 26 25 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 447 421 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 744 586 $852.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,130 1,035 $400.15
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 147 137 $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 254 246 $0.00
99310 Prolong nursin fac eval 15m 60 32 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 14 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 345 330 $0.00
80305 13 13 $0.00
81002 29 28 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 44 39 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 15 $0.00
99401 31 31 $0.00
0002A 14 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 54 45 $0.00
0064A 35 31 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 415 381 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 24 23 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 77 $0.00
0001A 27 27 $0.00
90656 13 13 $0.00