Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

NPI: 1215584750 · HEDGESVILLE, WV 25427 · Counselor · NPI assigned 08/20/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$275K
Total Medicaid Paid
7,490
Total Claims
6,393
Beneficiaries
11
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date08/20/2019

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 63 $3K
2020 299 $15K
2021 481 $20K
2022 2,010 $63K
2023 2,936 $88K
2024 1,701 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,414 2,060 $175K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,967 1,690 $97K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 17 $1K
87428 33 29 $741.38
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 50 43 $650.23
3079F 584 524 $0.00
3075F 135 123 $0.00
3074F 1,218 1,014 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00
3078F 1,029 852 $0.00
3077F 29 29 $0.00