Medicaid Provider Spending

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

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

NPI: 1033681150 · INWOOD, WV 25428 · Rural Health Clinic/Center · NPI assigned 12/31/2018

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

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$584K
Total Medicaid Paid
6,212
Total Claims
5,102
Beneficiaries
4
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date12/31/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 39 $2K
2020 75 $5K
2021 886 $73K
2022 1,825 $157K
2023 2,381 $239K
2024 1,006 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,095 3,289 $579K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 393 359 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,710 1,442 $2K
36415 Collection of venous blood by venipuncture 14 12 $0.00