MOUNTAINSTATE INFECTIOUS DISEASE, PLLC
NPI: 1114491792
· BRIDGEPORT, WV 26330
· 207RI0200X
$473K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,929 |
$144K |
| 2021 |
2,946 |
$79K |
| 2022 |
2,531 |
$91K |
| 2023 |
2,504 |
$97K |
| 2024 |
1,166 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
6,571 |
1,697 |
$277K |
| 99232 |
|
3,957 |
1,087 |
$98K |
| 99223 |
Prolong inpt eval add15 m |
1,158 |
882 |
$81K |
| 99214 |
|
252 |
130 |
$14K |
| 11042 |
|
87 |
56 |
$2K |
| 99213 |
|
35 |
25 |
$659.83 |
| 99203 |
|
16 |
16 |
$296.05 |