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

East Mountain Health Physicians, INC.

East Mountain Health Physicians, INC. was paid $70K by Medicaid between Apr 2023 and Dec 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.

33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
MARTINSBURG, WV 25401
33aNPI1437885365assigned 07/25/2022
28Total paid$70K
24GClaims1,354
24DCodes billed6
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in West Virginia

Rank by total paid#13 of 19
Median peer was paid$210K
This provider vs. median0.3×

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 CHAMBERS, JILL 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
2023541$28K
2024incomplete813$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49% 579 514 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 615 505 $32K
20610 3.3% 53 38 $2K
73562 1.2% 33 29 $848.75
J1010 Injection, methylprednisolone acetate, 1 mg <1% 60 43 $452.78
73130 <1% 14 12 $256.32

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 officialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
Same official

Other billing entities under CHAMBERS, JILL

Full network →

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