Behavioral
Boone Memorial Hospital, INC
Boone Memorial Hospital, INC was paid $875K by Medicaid between Feb 2020 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoBOONE MEMORIAL HOSPITAL, INC
MADISON, WV 25130
MADISON, WV 25130
33aNPI1871141366assigned 08/28/2019
33bProvider typeMental Health Counselor
28Total paid$875K
24GClaims32,229
24DCodes billed22
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in West Virginia
Rank by total paid#9 of 35
Median peer was paid$213K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2020 | 10,188 | $226K | |
| 2021 | 7,899 | $193K | |
| 2022 | 6,598 | $198K | |
| 2023 | 3,850 | $122K | |
| 2024incomplete | 3,694 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 9,069 | 3,538 | $368K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 15% | 9,244 | 3,629 | $133K |
| 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 | 13% | 1,757 | 771 | $116K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 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 | 6.4% | 902 | 480 | $56K |
| 80305 | 4.3% | 4,667 | 3,023 | $38K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.3% | 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 | 1.5% | 637 | 302 | $14K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 455 | 321 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 164 | 141 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 26 | 25 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 31 | 12 | $3K |
10 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 107 | $963.98 |
| 99442 | <1% | 83 | $863.00 | |
| 81025 | <1% | 32 | $132.54 | |
| 99441 | <1% | 16 | $64.50 | |
| 80355 | 0% | 455 | $0.00 | |
| 80362 | 0% | 452 | $0.00 | |
| 80356 | 0% | 453 | $0.00 | |
| 80354 | 0% | 453 | $0.00 | |
| 80359 | 0% | 453 | $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)
Parent organizationBOONE MEMORIAL HOSPITAL, INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.