Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Mountain Health Physicians, INC.

East Mountain Health Physicians, INC. was paid $66K by Medicaid between Jun 2018 and Mar 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
PETERSBURG, WV 26847
33aNPI1093219628assigned 03/20/2018
28Total paid$66K
24GClaims3,274
24DCodes billed5
24AFirst – last monthJun 2018 – Mar 2023
Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#132 of 202
Median peer was paid$172K
This provider vs. median0.4×

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.

Entity ProliferationAuthorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018381$3K
2019839$12K
2020524$13K
2021567$13K
2022697$16K
2023266$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82% 1,680 1,438 $54K
99307 16% 1,355 1,297 $10K
99305 1.1% 24 23 $701.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 31 24 $421.13
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 184 183 $64.66

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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
Same official

Other billing entities under JOHNSON, RENEE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.