Mountain State Medical Associates PLLC

Mountain State Medical Associates PLLC was paid $208K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoMOUNTAIN STATE MEDICAL ASSOCIATES PLLC
CHARLESTON, WV 25311

33aNPI1447349238assigned 10/12/2006

33bProvider typeInternal Medicine Physician

28Total paid$208K

24GClaims4,487

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#24 of 96

Median peer was paid$24K

This provider vs. median8.7×

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	451	$19K
2019	130	$4K
2020	464	$18K
2021	626	$24K
2022	1,123	$54K
2023	1,046	$54K
2024incomplete	647	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	77%	3,602	3,119	$161K
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	21%	563	540	$43K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.0%	202	190	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	13	$979.27
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	15	13	$853.02
90686		<1%	92	85	$504.11

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 officialBAILEY, JUSTIN (PRESIDENT)