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    OpenPayerNPI Medicare & MedicaidPotomac Valley Hospital Of W Va , Inc
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    Potomac Valley Hospital Of W Va , Inc — Billing Profile & Reimbursement Data

    NPI 1467090449 · Keyser, WV · Rural Health Clinic/Center

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    Potomac Valley Hospital Of W Va , Inc is a rural health clinic/center provider located in Keyser, West Virginia. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPotomac Valley Hospital Of W Va , Inc
    Address100 Pin Oak Ln Ste 3
    CityKeyser
    StateWV
    ZIP26726
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedDecember 20, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$855K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive9,490$90$844.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…5,350$1$10.7K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.50$0$0
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…30$0$0
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.10$0$0
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…50$0$0
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…270$0$0
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,090$0$0
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1463904,610$130$2.2M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…6751,2701,240$30$245K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1741,030890$50$221K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…123340140$90$97.5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…289440110$60$57.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.308430200$10$18.3K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.819070$60$17.5K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.148150220$10$7.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…270360120$10$6.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Potomac Valley Hospital Of W Va , Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Potomac Valley Hospital Of W Va , IncWVCritical Access Hospital$0$11M
    Potomac Valley Hospital Of W Va , IncWVEmergency Medicine Physician$0$2.3M
    Rabie ZalzalWVInternal Medicine Physician$189.1K$17.9K
    Harshad BokilWVInternal Medicine Physician$146.5K$58.3K
    Vishal GuptaWVGastroenterology Physician$108.1K$0
    Brian RichardsonWVEmergency Medicine Physician$80K$0
    Lakshmi MuthukumarWICardiovascular Disease Physician$77.8K$0
    Charles BessWVFamily Medicine Physician$77.6K$0
    Joseph NnadikeDCEmergency Medicine Physician$70.2K$0
    Brandon WilsonWVGeneral Practice Physician$62.3K$6.4K

    Nearby Providers

    Other providers in the same ZIP code as Potomac Valley Hospital Of W Va , Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sycamore Run, LLCWVIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.5M
    Burlington United Methodist Family Services, Inc.WVEmotionally Disturbed Childrens' Residential Treatment Facility$0$8.6M
    Burlington United Methodist Family Services, Inc.WVEmotionally Disturbed Childrens' Residential Treatment Facility$0$7.4M
    Aging & Family Services Of Mineral County, IncWVIn Home Supportive Care Agency$0$6.6M
    Recovery Care LLCWVSpecialist$0$3.5M
    Developmental Center & Workshop, Inc.WVDevelopmentally Disabled Services Day Training Agency$0$2.7M
    Aging & Family Services Of Mineral County, IncWVIn Home Supportive Care Agency$0$2.6M
    Aging And Family Services Of Mineral County, Inc.WVCommunity/Behavioral Health Agency$0$1.6M
    Recovery Care LLCWVCommunity/Behavioral Health Agency$0$1.3M
    Heather Rosen-turleyWVFamily Medicine Physician$41.8K$635.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Potomac Valley Hospital Of W Va , Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia