Mountain States Health Alliance
Mountain States Health Alliance was paid $5K by Medicaid between Apr 2018 and Sep 2023, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 69% of everything it billed.
MOUNTAIN CITY, TN 37683
Next to other Rural Health Clinic/Center providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15 | $438.80 | |
| 2020 | 113 | $3K | |
| 2021 | 14 | $475.20 | |
| 2023 | 12 | $308.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 69% | 99 | 86 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 28 | 25 | $715.20 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 15 | 12 | $438.80 |
| 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 | 6.6% | 12 | 12 | $308.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.