ST Josephs Hospital of Buckhannon

ST Josephs Hospital of Buckhannon was paid $4.47M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99284, emergency room visit (serious) — 28% of everything it billed.

33Billing provider infoST JOSEPHS HOSPITAL OF BUCKHANNON
BUCKHANNON, WV 26201

33aNPI1841314473assigned 03/19/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$4.47M

24GClaims79,212

24DCodes billed61

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in West Virginia

Rank by total paid#2 of 19

Median peer was paid$210K

This provider vs. median21×

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	5,060	$347K
2019	4,548	$333K
2020	12,110	$749K
2021	9,009	$464K
2022	15,766	$872K
2023	18,317	$938K
2024incomplete	14,402	$765K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	28%	13,857	12,460	$1.26M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	18,090	15,914	$986K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	12,327	11,194	$668K
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	11%	6,479	5,727	$489K
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	4.0%	2,116	1,861	$179K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.7%	1,982	1,809	$119K
88305	Level IV - Surgical pathology, gross and microscopic examination	2.3%	3,587	1,407	$104K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.2%	782	679	$98K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.1%	2,781	2,586	$92K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.5%	643	604	$67K
99238	Hospital discharge day management, 30 minutes or less	1.0%	932	832	$46K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	438	393	$35K

49 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,130	$34K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	5,849	$33K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	515	$26K
99222	Initial hospital care, per day, moderate complexity	<1%	307	$24K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	312	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	878	$16K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	379	$16K
11721		<1%	1,153	$15K
67028	Intravitreal injection of a pharmacologic agent	<1%	168	$12K
00813		<1%	74	$11K
01967	Neuraxial labor analgesia/anesthesia for planned vaginal delivery	<1%	97	$11K
45384		<1%	77	$11K
90472	Immunization administration, each additional vaccine (list separately)	<1%	404	$11K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	156	$10K
99232	Hospital visit by a doctor, follow-up day	<1%	222	$10K
92134		<1%	484	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	648	$8K
00731		<1%	55	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	74	$5K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	25	$4K
88342		<1%	197	$3K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	29	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	78	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	41	$3K
99460		<1%	42	$2K
93971		<1%	28	$2K
99382		<1%	14	$2K
90686		<1%	133	$2K
90474		<1%	82	$2K
99217		<1%	29	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	55	$1K
36415	Collection of venous blood by venipuncture	<1%	29	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	28	$800.01
20610		<1%	15	$701.19
17110		<1%	13	$640.63
88304		<1%	48	$405.29
93244		<1%	18	$308.13
83655		<1%	15	$307.90
93016		<1%	12	$188.53
93018		<1%	12	$125.61
90670		<1%	208	$123.92
99173		<1%	28	$97.59
99305		<1%	13	$92.16
90698		<1%	46	$16.62
90648		0%	96	$0.00
90633		0%	13	$0.00
99024		0%	683	$0.00
90680		0%	115	$0.00
90723		0%	71	$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 officialGJOLBERG, SKIP (PRESIDENT/ADMINISTRATOR)