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 $53K by Medicaid between Apr 2018 and May 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
MARTINSBURG, WV 25401
33aNPI1477067577assigned 11/28/2017
28Total paid$53K
24GClaims1,140
24DCodes billed5
24AFirst – last monthApr 2018 – May 2019
Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#135 of 202
Median peer was paid$172K
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 JOHNSON, RENEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20181,023$48K
2019117$4K
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 70% 702 633 $37K
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% 314 275 $12K
90686 3.0% 51 49 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.2% 43 41 $1K
99406 2.0% 30 28 $1K

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)
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.