Clinic
Rainelle Medical Center, INC.
Rainelle Medical Center, INC. was paid $1.53M by Medicaid between Jun 2019 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoRAINELLE MEDICAL CENTER, INC.
HICO, WV 25854
HICO, WV 25854
33aNPI1952815268assigned 11/22/2017
33bProvider typeClinic/Center
28Total paid$1.53M
24GClaims11,338
24DCodes billed13
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in West Virginia
Rank by total paid#6 of 20
Median peer was paid$667K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2019 | 737 | $34K | |
| 2020 | 1,602 | $110K | |
| 2021 | 1,479 | $207K | |
| 2022 | 2,358 | $346K | |
| 2023 | 2,717 | $431K | |
| 2024incomplete | 2,445 | $403K |
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 | 100% | 7,173 | 5,058 | $1.52M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,370 | 814 | $4K |
| 87428 | <1% | 141 | 105 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 445 | 397 | $777.33 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,706 | 1,435 | $595.10 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 92 | 71 | $187.04 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | 27 | $184.72 |
| 99173 | 0% | 42 | 40 | $0.00 | |
| 98960 | 0% | 54 | 22 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 145 | 103 | $0.00 |
| 99000 | 0% | 99 | 96 | $0.00 | |
| 92551 | 0% | 12 | 12 | $0.00 |
1 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 28 | $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 officialDAVIDSON-BENNETT, DEBRA (CREDENTIALING SPECIALIST)
Parent organizationRAINELLE MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Rainelle Medical Center, INC | Lewisburg, WV | $1.25M |
| Rainelle Medical Center, INC. | Lewisburg, WV | $801K |
| Rainelle Medical Center, INC | Lewisburg, WV | $503K |
| Rainelle Medical Center INC | Hinton, WV | $318K |
| Rainelle Medical Center, INC. | Hillsboro, WV | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.