Physician
Mountaineer Cardiology PLLC
Mountaineer Cardiology PLLC was paid $26K by Medicaid between Oct 2018 and Dec 2022, across 7 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 34% of everything it billed.
33Billing provider infoMOUNTAINEER CARDIOLOGY PLLC
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1336632660assigned 06/12/2018
33bProvider typeInterventional Cardiology Physician
28Total paid$26K
24GClaims688
24DCodes billed7
24AFirst – last monthOct 2018 – Dec 2022
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 | 40 | $4K | |
| 2019 | 40 | $2K | |
| 2020 | 266 | $7K | |
| 2021 | 209 | $7K | |
| 2022 | 133 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 34% | 95 | 86 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 18% | 58 | 55 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 102 | 101 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 14% | 97 | 42 | $4K |
| 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 | 11% | 46 | 44 | $3K |
| 93000 | 9.8% | 277 | 264 | $3K | |
| 99152 | <1% | 13 | 13 | $81.72 |
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 officialGOAD, JOHN (MANAGING PARTNER)