Agency
Mountaineer Home Care Services LLC
Mountaineer Home Care Services LLC was paid $12.40M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 94% of everything it billed.
33Billing provider infoMOUNTAINEER HOME CARE SERVICES LLC
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1326345364assigned 02/25/2011
33bProvider typeIn Home Supportive Care Agency
28Total paid$12.40M
24GClaims69,518
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in West Virginia
Rank by total paid#1 of 28
Median peer was paid$1.16M
This provider vs. median11×
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 | 9,723 | $1.94M | |
| 2019 | 10,344 | $2.38M | |
| 2020 | 11,060 | $2.57M | |
| 2021 | 10,228 | $2.77M | |
| 2022 | 19,617 | $2.55M | |
| 2023 | 4,346 | $96K | |
| 2024incomplete | 4,200 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 94% | 38,597 | 5,842 | $11.68M |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | 3.4% | 21,299 | 5,808 | $420K |
| T1002 | Rn services, up to 15 minutes | 1.5% | 8,018 | 7,890 | $189K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 1,066 | 909 | $46K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 265 | 262 | $33K |
| T1001 | Nursing assessment / evaluation | <1% | 273 | 267 | $31K |
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 officialELBON, ROBERT (OWNER PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mountaineer Case Management LLC | Elkins, WV | $848K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.