Clinic
Hampshire Memorial Hospital, INC.
Hampshire Memorial Hospital, INC. was paid $4.22M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoHAMPSHIRE MEMORIAL HOSPITAL, INC.
ROMNEY, WV 26757
ROMNEY, WV 26757
33aNPI1881735660assigned 02/12/2007
33bProvider typeRural Health Clinic/Center
28Total paid$4.22M
24GClaims80,886
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#6 of 49
Median peer was paid$956K
This provider vs. median4.4×
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 | 13,373 | $742K | |
| 2019 | 7,927 | $337K | |
| 2020 | 12,215 | $622K | |
| 2021 | 11,638 | $568K | |
| 2022 | 11,689 | $600K | |
| 2023 | 13,032 | $674K | |
| 2024incomplete | 11,012 | $680K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 41,126 | 34,494 | $3.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 12,575 | 11,317 | $201K |
| 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 | 2.8% | 14,949 | 13,617 | $117K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,228 | 1,163 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 619 | 599 | $20K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,173 | 3,355 | $17K |
| 90461 | <1% | 357 | 337 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 174 | 153 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 313 | 305 | $5K |
| 11721 | <1% | 2,440 | 2,398 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 76 | 67 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 127 | 123 | $2K |
21 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 36 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 74 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 68 | $2K |
| 99406 | <1% | 28 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 192 | $1K |
| 90715 | <1% | 14 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 22 | $1K |
| 81003 | <1% | 27 | $562.18 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $152.99 |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $30.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 52 | $0.00 |
| 3074F | 0% | 26 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90686 | 0% | 33 | $0.00 | |
| 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 | 0% | 1,144 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 296 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 583 | $0.00 |
| 11056 | 0% | 12 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 90670 | 0% | 13 | $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 officialBAKER, RENEE (INSURANCE CREDENTIALING SPECIALIST)
Parent organizationHAMPSHIRE MEMORIAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Memorial Hospital INC. | Woodstock, VA | $2.49M |
| War Memorial Hospital, INC. | Berkeley Springs, WV | $1.06M |
| Shenandoah Memorial Hospital INC. | New Market, VA | $936K |
| Shenandoah Memorial Hospital INC. | Woodstock, VA | $384K |
| Shenandoah Memorial Hospital INC. | Mount Jackson, VA | $373K |
| Valley Physician Enterprise, INC. | Front Royal, VA | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.