Mountain States Health Alliance
Mountain States Health Alliance was paid $245K by Medicaid between Apr 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.
LEBANON, VA 24266
Next to other Family Medicine Physician providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 218 | $1K | |
| 2019 | 17 | $811.00 | |
| 2020 | 122 | $4K | |
| 2021 | 609 | $30K | |
| 2022 | 1,363 | $67K | |
| 2023 | 1,478 | $78K | |
| 2024incomplete | 1,426 | $64K |
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 | 88% | 2,980 | 2,808 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 393 | 354 | $19K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 71 | 52 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,253 | 1,177 | $2K |
| 99442 | <1% | 37 | 37 | $2K | |
| 96127 | <1% | 270 | 254 | $1K | |
| 90686 | <1% | 27 | 21 | $333.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 45 | $216.71 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | 15 | $182.76 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 132 | 95 | $7.58 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.