Medicaid Provider Spending

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

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

NPI: 1073096566 · MARTINSBURG, WV 25401 · Family Medicine Physician · NPI assigned 09/11/2018

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

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

$361K
Total Medicaid Paid
8,882
Total Claims
7,803
Beneficiaries
16
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date09/11/2018

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
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
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 267 $12K
2020 1,036 $51K
2021 1,173 $49K
2022 2,414 $90K
2023 2,475 $83K
2024 1,517 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,057 2,685 $226K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 322 297 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 364 293 $5K
36415 Collection of venous blood by venipuncture 197 181 $1K
87428 60 55 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 95 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 13 $541.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 13 $369.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $200.12
3078F 809 692 $0.00
3077F 72 65 $0.00
3075F 159 147 $0.00
3074F 977 840 $0.00
3079F 501 447 $0.00
3080F 17 15 $0.00