Medicaid Provider Spending

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

MOUNTAIN STATES HEALTH ALLIANCE

NPI: 1013346550 · ERWIN, TN 37650 · General Acute Care Hospital · NPI assigned 11/05/2013

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

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$1.48M
Total Medicaid Paid
40,143
Total Claims
31,016
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date11/05/2013

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,709 $190K
2019 7,709 $193K
2020 3,872 $132K
2021 4,654 $190K
2022 6,894 $299K
2023 6,935 $284K
2024 3,370 $197K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 6,899 5,790 $796K
99283 Emergency department visit for the evaluation and management, moderate severity 2,897 2,530 $255K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,184 1,671 $218K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 960 816 $87K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,784 1,406 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,199 5,363 $24K
99282 Emergency department visit for the evaluation and management, low to moderate severity 187 172 $14K
80053 Comprehensive metabolic panel 5,248 4,004 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 739 557 $10K
84484 952 596 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,494 1,033 $4K
96375 Therapeutic injection; each additional sequential IV push 539 391 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 190 152 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 604 259 $3K
83735 1,055 790 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 136 120 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 319 287 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 56 46 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 42 40 $1K
71045 Radiologic examination, chest; single view 504 411 $1K
81001 1,625 1,296 $1K
36415 Collection of venous blood by venipuncture 1,103 855 $993.64
96361 Intravenous infusion, hydration; each additional hour 239 172 $845.61
80048 Basic metabolic panel (calcium, ionized) 344 244 $642.46
83690 172 131 $566.85
87081 101 99 $521.87
J2405 Injection, ondansetron hydrochloride, per 1 mg 145 107 $512.76
87400 179 145 $362.93
87077 102 85 $350.26
83605 86 54 $345.41
85610 366 271 $253.30
85730 174 139 $244.18
71046 Radiologic examination, chest; 2 views 62 45 $231.12
81025 38 38 $130.08
83874 48 38 $117.65
J1885 Injection, ketorolac tromethamine, per 15 mg 445 336 $81.12
87070 14 12 $67.95
84443 Thyroid stimulating hormone (TSH) 12 12 $59.50
J7030 Infusion, normal saline solution , 1000 cc 348 231 $53.70
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20 16 $52.82
87086 Culture, bacterial; quantitative colony count, urine 15 13 $50.61
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 60 44 $50.34
83880 13 12 $44.42
81003 83 65 $36.40
85027 14 12 $34.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 12 $25.38
A9270 Non-covered item or service 312 85 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 19 13 $0.00