Alum Creek Medical Center, INC.
Alum Creek Medical Center, INC. was paid $333K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
ALUM CREEK, WV 25003
Next to other Family Medicine Physician providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,550 | $68K | |
| 2019 | 1,038 | $36K | |
| 2020 | 2,088 | $50K | |
| 2021 | 1,733 | $42K | |
| 2022 | 2,722 | $60K | |
| 2023 | 1,967 | $40K | |
| 2024incomplete | 1,589 | $36K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 3,106 | 2,863 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,590 | 1,437 | $81K |
| 36415 | Collection of venous blood by venipuncture | 7.3% | 2,279 | 2,119 | $24K |
| 3008F | 3.4% | 2,165 | 1,959 | $11K | |
| 82962 | 1.2% | 174 | 167 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 129 | 108 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 291 | 124 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 204 | 191 | $3K |
| 4010F | <1% | 46 | 44 | $2K | |
| 3078F | <1% | 965 | 880 | $2K | |
| 3074F | <1% | 988 | 895 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | 84 | $2K |
10 more codes
| 92551 | <1% | 56 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $874.28 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 162 | $450.63 |
| 96127 | <1% | 160 | $439.56 | |
| 90686 | <1% | 15 | $313.99 | |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $57.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 123 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 65 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Fostering Hope L.L.C. | Glendale, AZ | $27.35M |
| Lancaster School District | Lancaster, CA | $2.18M |
| Moore County Schools | Carthage, NC | $1.44M |
| Valley Dermatology and Skin Cancer Center | Spokane Valley, WA | $530K |
| Scott S Smith DMD PA | Taylorsville, NC | $307K |
| Cranberry Township Emergency Medical Service | Cranberry Twp, PA | $181K |
| Valley Hills LLC | Hickory, NC | $62K |
| DR Scott Smith LLC | Aliquippa, PA | $8K |
| Scott R. Smith Dds.,Pc | Adrian, MI | $756.00 |
| Brazos Valley Eye Physicians PA | Waco, TX | $97.32 |
| Cherry Creek School District No. 5 | Greenwood Village, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.