Physician
East Mountain Health Physicians INC.
East Mountain Health Physicians INC. was paid $60K by Medicaid between Jan 2018 and Apr 2021, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS INC.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1114460797assigned 11/30/2016
33bProvider typeInternal Medicine Physician
28Total paid$60K
24GClaims1,170
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#36 of 96
Median peer was paid$24K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 299 | $13K | |
| 2019 | 121 | $7K | |
| 2020 | 550 | $31K | |
| 2021 | 200 | $9K |
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 | 49% | 442 | 400 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 611 | 547 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.0% | 26 | 24 | $2K |
| 99406 | 1.6% | 42 | 41 | $944.82 | |
| 3078F | 0% | 25 | 22 | $0.00 | |
| 3074F | 0% | 24 | 20 | $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 officialBECHAMPS, GERALD (CEO)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
| Provider | Location | Paid |
|---|---|---|
| Hampshire Memorial Hospital, INC. | Romney, WV | $642K |
| East Mountain Health Physicians, INC. | Martinsburg, WV | $216K |
| East Mountain Health Physicians INC | Falling Waters, WV | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.