Clinic
East Mountain Health Physicians INC
East Mountain Health Physicians INC was paid $43K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS INC
FALLING WATERS, WV 25419
FALLING WATERS, WV 25419
33aNPI1396284089assigned 02/15/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$43K
24GClaims952
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Urgent Care Clinic/Center providers in West Virginia
Rank by total paid#9 of 9
Median peer was paid$906K
This provider vs. median0.0×
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.
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 | 459 | $23K | |
| 2019 | 92 | $6K | |
| 2020 | 401 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 405 | 369 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14% | 224 | 211 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 59 | 53 | $3K |
| 94760 | 5.5% | 102 | 96 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 134 | 66 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 15 | 15 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 13 | 13 | $734.64 |
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 officialBECHAMPS, GERALD (CEO)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
| Provider | Location | Paid |
|---|---|---|
| Hampshire Memorial Hospital, INC. | Romney, WV | $642K |
| East Mountain Health Physicians, INC. | Martinsburg, WV | $216K |
| East Mountain Health Physicians INC. | Martinsburg, WV | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.