Medicaid Provider Spending

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

MOUNTAINEER COMMUNITY HEALTH CENTER, INC.

NPI: 1033299862 · PAW PAW, WV 25434 · Ambulatory Family Planning Facility · NPI assigned 10/16/2006

$1.06M
Total Medicaid Paid
18,531
Total Claims
15,756
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNORTON, BARBARA (PRESIDENT)
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: NORTON, BARBARA

ProviderCityStateTotal Paid
SALEM COUNSELING PLACE SALEM OR $195K
GENEVA WOODS MIDWIFERY WASILLA AK $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,000 $182K
2019 1,492 $81K
2020 2,751 $187K
2021 2,308 $152K
2022 3,187 $184K
2023 3,720 $152K
2024 2,073 $119K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,769 7,188 $952K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,937 2,534 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,857 2,581 $36K
96127 157 138 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 37 34 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $2K
36415 Collection of venous blood by venipuncture 270 243 $735.85
90756 38 36 $582.68
0031A 16 15 $560.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 173 153 $364.99
91303 15 14 $143.95
3074F 205 185 $0.00
3079F 31 25 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 54 48 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 75 72 $0.00
90686 15 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 31 27 $0.00
1160F 1,133 1,018 $0.00
1159F 1,132 1,018 $0.00
3078F 141 134 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 49 44 $0.00
3725F 144 127 $0.00
90837 Psychotherapy, 53 minutes with patient 16 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 208 70 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $0.00