Physician
Mountain States Health Alliance
Mountain States Health Alliance was paid $45K by Medicaid between Jan 2024 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoMOUNTAIN STATES HEALTH ALLIANCE
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1093580466assigned 11/16/2023
33bProvider typeHematology & Oncology Physician
28Total paid$45K
24GClaims1,839
24DCodes billed7
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Tennessee
Rank by total paid#8 of 25
Median peer was paid$11K
This provider vs. median4.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 1,839 | $45K |
Box 24 · Service lines
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 | 70% | 1,254 | 866 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 22% | 283 | 183 | $10K |
| 99223 | Prolong inpt eval add15 m | 4.7% | 33 | 28 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 33 | 24 | $938.28 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 28 | 13 | $544.79 |
| 3078F | <1% | 138 | 79 | $18.90 | |
| 3074F | 0% | 70 | 36 | $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.
From NPPES
Who's on the registration
Authorized officialTARTE, PATRICIA (ENROLLMENT SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Blue Ridge Medical Management Corporation | Johnson City, TN | $432K |
| Blue Ridge Medical Management Corpoartion | Big Stone Gap, VA | $18K |
| Blue Ridge Medical Management C Orporation | Johnson City, TN | $18K |
| Blue Ridge Medical Management Corpoartion | Mountain City, TN | $114.88 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.