Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

NPI: 1437885365 · MARTINSBURG, WV 25401 · Orthopaedic Surgery Physician · NPI assigned 07/25/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$70K
Total Medicaid Paid
1,354
Total Claims
1,141
Beneficiaries
6
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date07/25/2022

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 541 $28K
2024 813 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 579 514 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 615 505 $32K
20610 53 38 $2K
73562 33 29 $848.75
J1010 Injection, methylprednisolone acetate, 1 mg 60 43 $452.78
73130 14 12 $256.32