POTOMAC VALLEY HOSPITAL OF W VA , INC
NPI: 1902444987
· FORT ASHBY, WV 26719
· Rural Health Clinic/Center
· NPI assigned 12/20/2019
$411K
Total Medicaid Paid
Provider Details
| Authorized Official | WELLS, SUE (SENIOR DIRECTOR OF CLINIC OPERATION) |
| Parent Organization | POTOMAC VALLEY HOSPITAL OF W VA , INC |
| NPI Enumeration Date | 12/20/2019 |
Related Entities
Other providers sharing the same authorized official: WELLS, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
528 |
$18K |
| 2021 |
1,222 |
$67K |
| 2022 |
1,869 |
$123K |
| 2023 |
2,024 |
$127K |
| 2024 |
1,037 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,412 |
3,878 |
$405K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,483 |
1,342 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
670 |
604 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
71 |
$0.00 |
| 90686 |
|
17 |
14 |
$0.00 |