Clinic
Hospital Development Co
Hospital Development Co was paid $7.52M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHOSPITAL DEVELOPMENT CO
SPENCER, WV 25276
SPENCER, WV 25276
33aNPI1922068469assigned 03/27/2006
33bProvider typeRural Health Clinic/Center
28Total paid$7.52M
24GClaims83,522
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#2 of 49
Median peer was paid$956K
This provider vs. median7.9×
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 | 7,921 | $569K | |
| 2019 | 7,302 | $545K | |
| 2020 | 14,301 | $842K | |
| 2021 | 13,999 | $1.47M | |
| 2022 | 19,748 | $2.18M | |
| 2023 | 17,467 | $1.61M | |
| 2024incomplete | 2,784 | $303K |
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 | 94% | 36,028 | 26,972 | $7.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 18,034 | 13,677 | $161K |
| 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 | 1.1% | 9,929 | 7,706 | $85K |
| 3008F | <1% | 1,759 | 1,559 | $45K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 493 | 462 | $21K |
| 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% | 1,036 | 890 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 281 | 251 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 491 | 463 | $14K |
| 81003 | <1% | 566 | 482 | $10K | |
| 3078F | <1% | 365 | 335 | $7K | |
| 3074F | <1% | 361 | 324 | $6K | |
| 87449 | <1% | 3,387 | 2,157 | $5K |
36 more codes
| 3077F | <1% | 137 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,165 | $4K |
| 3079F | <1% | 242 | $4K | |
| 87807 | <1% | 89 | $3K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 279 | $3K |
| 20610 | <1% | 281 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $2K |
| 3075F | <1% | 152 | $2K | |
| 90686 | <1% | 13 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 488 | $1K |
| 87430 | <1% | 22 | $777.80 | |
| 92015 | Determination of refractive state | <1% | 139 | $86.22 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 101 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 844 | $0.00 |
| 1036F | 0% | 1,062 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 249 | $0.00 |
| 1220F | 0% | 249 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 187 | $0.00 |
| 1123F | 0% | 44 | $0.00 | |
| 3080F | 0% | 37 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 55 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 92285 | 0% | 15 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 385 | $0.00 |
| 4004F | 0% | 910 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,288 | $0.00 |
| 1159F | 0% | 711 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 157 | $0.00 |
| 3046F | 0% | 67 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 622 | $0.00 |
| 2022F | 0% | 319 | $0.00 | |
| 92020 | 0% | 235 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 117 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 42 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 26 | $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 officialBENTZ, DOUG (CEO)
Parent organizationROANE GENERAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Hospital Development Co | Spencer, WV | $14.56M |
| Hospital Development Co | Spencer, WV | $10.11M |
| Hospital Development Co | Left Hand, WV | $1.06M |
| Hospital Development Co | Spencer, WV | $727K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.