Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JOHNSON CITY › MOUNTAIN STATES HEALTH ALLIANCE

MOUNTAIN STATES HEALTH ALLIANCE

NPI: 1093580466 · JOHNSON CITY, TN 37604 · Hematology & Oncology Physician · NPI assigned 11/16/2023

$45K
Total Medicaid Paid
1,839
Total Claims
1,229
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTARTE, PATRICIA (ENROLLMENT SUPERVISOR)
NPI Enumeration Date11/16/2023

Related Entities

Other providers sharing the same authorized official: TARTE, PATRICIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,839 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,254 866 $31K
99215 Prolong outpt/office vis 283 183 $10K
99223 Prolong inpt eval add15 m 33 28 $2K
99204 33 24 $938.28
99233 Prolong inpt eval add15 m 28 13 $544.79
3078F 138 79 $18.90
3074F 70 36 $0.00