Physician
Mountainstate Infectious Disease, PLLC
Mountainstate Infectious Disease, PLLC was paid $473K by Medicaid between Jan 2020 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 59% of everything it billed.
33Billing provider infoMOUNTAINSTATE INFECTIOUS DISEASE, PLLC
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1114491792assigned 01/16/2019
33bProvider typeInfectious Disease Physician
28Total paid$473K
24GClaims12,076
24DCodes billed7
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Infectious Disease Physician providers in West Virginia
Rank by total paid#3 of 8
Median peer was paid$270K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2020 | 2,929 | $144K | |
| 2021 | 2,946 | $79K | |
| 2022 | 2,531 | $91K | |
| 2023 | 2,504 | $97K | |
| 2024incomplete | 1,166 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 59% | 6,571 | 1,697 | $277K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 3,957 | 1,087 | $98K |
| 99223 | Prolong inpt eval add15 m | 17% | 1,158 | 882 | $81K |
| 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 | 2.9% | 252 | 130 | $14K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 87 | 56 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 35 | 25 | $659.83 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 16 | $296.05 |
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 officialDELAPORTAS, DINO (MD/OWNER)