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

Mountain States Health Alliance

Mountain States Health Alliance was paid $376K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 80% of everything it billed.

33Billing provider infoMOUNTAIN STATES HEALTH ALLIANCE
NORTON, VA 24273
33aNPI1528166568assigned 09/21/2006
33bProvider typeHome Health Agency
28Total paid$376K
24GClaims5,045
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#481 of 678
Median peer was paid$1.59M
This provider vs. median0.2×

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 HILTON, SHANE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,466$74K
2019610$37K
2020793$71K
2021302$26K
20221,072$86K
2023662$70K
2024incomplete140$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 80% 4,189 1,291 $301K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 12% 506 202 $43K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 7.4% 291 131 $28K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 1.1% 59 13 $4K

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 officialHILTON, SHANE (EVP/CFO)
Same official

Other billing entities under HILTON, SHANE

Full network →
ProviderLocationPaid
Johnston Memorial Hospital, INCAbingdon, VA$35.91M
Wellmont Health SystemBig Stone Gap, VA$33.71M
Mountain States Health AllianceJohnson City, TN$31.31M
Wellmont Medical Associates INCKingsport, TN$27.84M
Wellmont Health SystemBristol, TN$27.35M
Takoma Regional Hospital INCGreeneville, TN$20.22M
Wellmont Health SystemKingsport, TN$17.64M
Mountain States Health AllianceKingsport, TN$15.47M
Smyth County Community HospitalMarion, VA$15.33M
Mountain States Health AllianceLebanon, VA$11.37M
Mountain States Health AlliancePennington Gap, VA$8.28M
Mountain States Health AllianceJohnson City, TN$8.14M
Mountain States Health AllianceElizabethton, TN$7.25M
Dickenson Community Hospital, INC.Clintwood, VA$6.94M
Wellmont Hawkins County Memorial Hospital INCRogersville, TN$5.11M
East Tennessee Healthcare Holdings INCGray, TN$3.30M
Mountain States Health AllianceMountain City, TN$3.03M
Wellmont Health SystemSneedville, TN$1.90M
Mountain States Health AllianceErwin, TN$1.48M
Wilson Pharmacy INCJohnson City, TN$1.26M

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