East Mountain Health Physicians, INC.
East Mountain Health Physicians, INC. was paid $361K by Medicaid between Jan 2019 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
MARTINSBURG, WV 25401
Next to other Family Medicine Physician providers in West Virginia
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 267 | $12K | |
| 2020 | 1,036 | $51K | |
| 2021 | 1,173 | $49K | |
| 2022 | 2,414 | $90K | |
| 2023 | 2,475 | $83K | |
| 2024incomplete | 1,517 | $76K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 63% | 3,057 | 2,685 | $226K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,194 | 1,951 | $119K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.6% | 322 | 297 | $6K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 364 | 293 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 197 | 181 | $1K |
| 87428 | <1% | 60 | 55 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 99 | 95 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | 13 | $541.46 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 13 | $369.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | 14 | $200.12 |
| 3078F | 0% | 809 | 692 | $0.00 | |
| 3077F | 0% | 72 | 65 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.