Medicaid Provider Spending

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

BOONE MEMORIAL HOSPITAL, INC

NPI: 1871141366 · MADISON, WV 25130 · Mental Health Counselor · NPI assigned 08/28/2019

$875K
Total Medicaid Paid
32,229
Total Claims
15,686
Beneficiaries
22
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUNDERWOOD, VIRGIL (CEO)
Parent OrganizationBOONE MEMORIAL HOSPITAL, INC
NPI Enumeration Date08/28/2019

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 $4.09M
BOONE MEMORIAL HOSPITAL, INC MADISON WV $1.65M
BOONE MEMORIAL HOSPITAL, INC DANVILLE WV $1.59M
BOONE MEMORIAL HOSPITAL, INC COMFORT WV $329K
BOONE MEMORIAL HOSPITAL, INC MADISON WV $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 10,188 $226K
2021 7,899 $193K
2022 6,598 $198K
2023 3,850 $122K
2024 3,694 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,069 3,538 $368K
90853 Group psychotherapy (other than of a multiple-family group) 9,244 3,629 $133K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,757 771 $116K
90837 Psychotherapy, 53 minutes with patient 1,560 995 $100K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 902 480 $56K
80305 4,667 3,023 $38K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,199 663 $29K
G0659 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes 637 302 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 455 321 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 164 141 $5K
90791 Psychiatric diagnostic evaluation 26 25 $3K
90792 Psychiatric diagnostic evaluation with medical services 31 12 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 107 94 $963.98
99442 83 63 $863.00
81025 32 26 $132.54
99441 16 12 $64.50
80355 455 316 $0.00
80362 452 315 $0.00
80356 453 315 $0.00
80354 453 316 $0.00
80359 453 315 $0.00