Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Charleston › NPI 1336632660
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
33aNPI1336632660assigned 06/12/2018
28Total paid$26K
24GClaims688
24DCodes billed7
24AFirst – last monthOct 2018 – Dec 2022
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201840$4K
201940$2K
2020266$7K
2021209$7K
2022133$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)