Mountaineer Cardiovascular Care INC

Mountaineer Cardiovascular Care INC was paid $299K by Medicaid between Jan 2018 and Aug 2019, across 19 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 24% of everything it billed.

33Billing provider infoMOUNTAINEER CARDIOVASCULAR CARE INC
BECKLEY, WV 25801

33aNPI1336661396assigned 07/12/2017

33bProvider typeCardiovascular Disease Physician

28Total paid$299K

24GClaims5,111

24DCodes billed19

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Cardiovascular Disease Physician providers in West Virginia

Rank by total paid#11 of 31

Median peer was paid$64K

This provider vs. median4.6×

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	3,542	$230K
2019	1,569	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	24%	756	366	$72K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	15%	557	509	$45K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	14%	255	238	$42K
99223	Prolong inpt eval add15 m	12%	287	259	$36K
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	9.0%	577	529	$27K
93000		6.1%	309	280	$18K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	4.2%	44	42	$12K
93015		4.1%	48	46	$12K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.3%	1,722	1,260	$10K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.2%	77	37	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	116	114	$3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	130	119	$3K

7 more codes

G9744	Patient not eligible due to active diagnosis of hypertension	<1%	109	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	31	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	18	$1K
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	29	$756.88
1036F		<1%	14	$522.68
93224		<1%	15	$505.83
G8598	Aspirin or another antiplatelet therapy used	<1%	17	$246.46

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 officialZELEKE, GETACHEW (OWNER)