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    OpenPayerNPI Medicare & MedicaidCamden Clark Memorial Hospital Corporation
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    Camden Clark Memorial Hospital Corporation — Billing Profile & Reimbursement Data

    NPI 1699704254 · Parkersburg, WV · General Acute Care Hospital

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    Camden Clark Memorial Hospital Corporation is a general acute care hospital provider located in Parkersburg, West Virginia. This profile covers 0 Medicare and 481 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
    OrganizationCamden Clark Memorial Hospital Corporation
    Address800 Garfield Ave
    CityParkersburg
    StateWV
    ZIP26101
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$56.2M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused hospital: total Medicaid revenue is $56.2M while Medicare shows none (no Medicare billing on file), indicating the facility operates with a single-payer public profile in the available data. The absence of Medicare billing will materially shape payer negotiations and competitive comparisons that depend on dual-payer mixes.

    Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top-3 Medicaid codes (99285, 99284, 99283) account for 46.2% of the provider's Medicaid revenue. Those individual contributions are 99285 $6.4M (20.0%), 99284 $5.3M (16.4%), and 99283 $3.1M (9.8%), which together signal ED care as the dominant revenue driver.

    The code mix and top drivers point to a high-throughput emergency and acute-care operation: 99285/99284/99283 (ED E/M levels) dominate revenue, supported by high volumes of imaging and urgent diagnostics such as 74177 $2M, 70450 $847.6K, and CTA 71275 $520K. This pattern suggests the hospital functions as a regional ED/acute diagnostics hub that funnels patients into imaging, observation, and procedure pathways.

    Observation, infusion, and procedural throughput are standout service lines relative to in-state peers: G0378 (hospital observation service) appears with 11.4K claims and $525.4K revenue and ranks #2 of 45 providers in-state (98th percentile; notably above typical state volume), while infusion/administration codes 96365 ($794.2K, rank #2 of 58, 98th percentile), 96375 ($705.8K, rank #3 of 62, 97th percentile) and 96374 ($665.4K, rank #6 of 61, 92th percentile) all show elevated volumes, indicating substantial IV medication and observation activity. These ranks identify observation and infusion as operational strengths relative to peers.

    Laboratory and routine diagnostic testing are high-volume and above-typical for the state: 80053 (CMP) has 83.5K claims and $1.4M revenue, ranking #5 of 111 providers (96th percentile; notably above typical state volume), and 85025 (CBC) has 83.2K claims and $1.2M revenue, ranking #8 of 138 providers (95th percentile; notably above typical state volume). Troponin 84484 and TSH 84443 also appear in the top codes (24K claims/$479.3K, rank #3 of 60, 97th percentile; 19.9K claims/$478K, rank #8 of 95, 93th percentile respectively), reinforcing a strong lab throughput supporting acute care.

    Cardiac and advanced imaging capabilities are evident: 78452 (SPECT) $853.3K ranks #4 of 63 providers (95th percentile; notably above typical state volume) and echocardiography 93306 $697.7K ranks #7 of 103 providers (94th percentile; typical, unremarkable volume). Combined with multiple CT codes (74177, 74176, 70450), this mix indicates the hospital provides a broad set of advanced diagnostic services consistent with a general acute care hospital taxonomy.

    Competitive standing for ED-related codes is mixed: 99285 ranks #12 of 132 providers in-state (92th percentile; typical, unremarkable volume), 99284 ranks #16 of 168 (91th percentile; typical, unremarkable volume), and 99283 ranks #12 of 163 (93th percentile; typical, unremarkable volume). These placements indicate the hospital is a solid regional participant in emergency care—consistently in the upper deciles statewide—but not uniquely dominant among peers for those specific ED codes.

    The provider has an established tenure in the NPI file, enumerated 2006-07-03 (~20 years ago), which supports interpreting these utilization patterns as produced by a long-standing acute-care facility rather than a recent entrant; the sustained presence helps explain the breadth of services (ED, imaging, labs, observation, infusion) visible in the Medicaid billing profile.

    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.

    481 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.18,000$360$6.4M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.31,080$170$5.3M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.29,770$110$3.1M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.7,390$270$2M
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.83,520$20$1.4M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1,040$1,350$1.4M
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…83,210$10$1.2M
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…4,470$220$997.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…2,380$360$853.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.8,920$100$847.6K

    Showing 1–10 of 481

    • More pages

    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

    481 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.121302,090$210$1.5M
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.1120270$20$1.5M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.410580$1,120$1.3M
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.740820$30$1.2M
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.740820$30$1.2M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.161703,350$120$1.1M
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…182070$20$832.7K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…930180$40$773.3K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.1020720$20$721.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.121603,690$80$714.8K

    Showing 1–10 of 481

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Camden Clark Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Camden-clark Physician CorporationWVSurgery Physician$0$19.8M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Camden Clark Memorial Hospital CorporationWVLand Ambulance$874.9K$5.3M
    John ConnerWVFamily Medicine Physician$380.9K$0
    Samir ElianMIInterventional Cardiology Physician$374.5K$0
    Seyoum BageWVInfectious Disease Physician$101.1K$269.8K
    David GnegyWVCardiovascular Disease Physician$212K$0
    Bairava KuppuswamyWVInternal Medicine Physician$208.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Camden Clark Memorial Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rscr West Virginia, Inc.WVDevelopmental Disabilities Clinic/Center$0$153.6M
    St. Joseph Recovery Center, LLCWVSubstance Use Disorder Rehabilitation Clinic/Center$0$49.5M
    Westbrook Health Services, IncWVCommunity/Behavioral Health Agency$0$42.5M
    Westbrook Health Services, Inc.WVCommunity/Behavioral Health Agency$0$32.6M
    Wv Family Support And Rehabilitation ServicesWVCommunity/Behavioral Health Agency$0$19.4M
    Clean & Clear Advantage, LLCWVAddiction (Substance Use Disorder) Counselor$0$18.3M
    Mjs Enterprises IncWVLand Ambulance$960.2K$8.7M
    Evergreen Therapeutic Treatment Centers LLCWVAdolescent and Children Mental Health Clinic/Center$0$3.3M
    Parkersburg Radiology Services, Inc.WVDiagnostic Radiology Physician$0$2.4M
    Sw Resources, IncWVCommunity/Behavioral Health Agency$0$2.4M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Camden Clark Memorial Hospital Corporation — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia