MOUNTAIN STATES HEALTH ALLIANCE
NPI: 1518079532
· MOUNTAIN CITY, TN 37683
· 261QR1300X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15 |
$438.80 |
| 2020 |
113 |
$3K |
| 2021 |
14 |
$475.20 |
| 2023 |
12 |
$308.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
|
99 |
86 |
$3K |
| 99308 |
|
28 |
25 |
$715.20 |
| 99213 |
|
15 |
12 |
$438.80 |
| 99214 |
|
12 |
12 |
$308.00 |