Medicaid Provider Spending

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

SHENANDOAH MEMORIAL HOSPITAL, INC.

NPI: 1952417735 · WOODSTOCK, VA 22664 · Anesthesiology Physician · NPI assigned 08/22/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$1.98M
Total Medicaid Paid
49,468
Total Claims
43,314
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
NPI Enumeration Date08/22/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,501 $98K
2019 7,220 $315K
2020 4,519 $229K
2021 8,071 $239K
2022 11,863 $384K
2023 10,402 $506K
2024 3,892 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,405 12,572 $936K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,234 14,058 $826K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,913 1,679 $90K
99215 Prolong outpt/office vis 492 445 $49K
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 1,779 1,545 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 112 106 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 106 97 $7K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 315 228 $7K
3074F 5,022 4,399 $6K
3078F 3,993 3,528 $4K
99308 Subsequent nursing facility care, per day, straightforward 258 190 $3K
90686 172 167 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 54 51 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 225 210 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 182 165 $2K
3079F 1,734 1,583 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 24 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 26 25 $1K
90715 40 38 $1K
36415 Collection of venous blood by venipuncture 683 646 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 233 190 $1K
3075F 594 566 $725.00
96127 137 129 $682.77
3080F 250 231 $575.00
3077F 413 379 $575.00
87428 13 12 $263.95
99309 Subsequent nursing facility care, per day, low to moderate complexity 14 13 $174.60
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 31 26 $64.41