Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

East Mountain Health Physicians, INC.

East Mountain Health Physicians, INC. was paid $122K by Medicaid between Mar 2019 and Jun 2022, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
MARTINSBURG, WV 25404
33aNPI1366925851assigned 09/11/2018
33bProvider typeCounselor
28Total paid$122K
24GClaims2,118
24DCodes billed6
24AFirst – last monthMar 2019 – Jun 2022
Compared with peers

Next to other Counselor providers in West Virginia

Rank by total paid#11 of 21
Median peer was paid$122K
This provider vs. median1.0×

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.

Entity ProliferationAuthorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
201986$7K
2020480$40K
20211,106$52K
2022446$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 77% 1,178 1,065 $94K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 497 453 $28K
3079F 0% 104 92 $0.00
3074F 0% 188 169 $0.00
3078F 0% 127 121 $0.00
3077F 0% 24 24 $0.00

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 officialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
Same official

Other billing entities under JOHNSON, RENEE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.