Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLMONT HEALTH SYSTEM

NPI: 1568905925 · SNEEDVILLE, TN 37869 · Rural Health Clinic/Center · NPI assigned 12/02/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$267K
Total Medicaid Paid
14,074
Total Claims
10,292
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date12/02/2016

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE LEBANON VA $11.37M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,313 $22K
2019 2,297 $48K
2020 2,070 $49K
2021 1,918 $47K
2022 2,571 $32K
2023 2,425 $39K
2024 1,480 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,933 2,926 $118K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,028 2,750 $72K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,405 1,171 $41K
99308 Subsequent nursing facility care, per day, straightforward 858 499 $23K
99348 178 137 $4K
99215 Prolong outpt/office vis 123 94 $4K
99349 14 13 $853.79
99309 Subsequent nursing facility care, per day, low to moderate complexity 23 14 $789.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 102 67 $691.00
90686 103 81 $587.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 55 39 $490.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 53 39 $347.72
81002 93 74 $86.10
3074F 921 699 $65.00
3078F 966 716 $55.00
3077F 397 316 $50.00
3079F 143 122 $30.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 12 $8.84
83036 Hemoglobin; glycosylated (A1C) 60 55 $8.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 17 14 $3.22
G0444 Annual depression screening, 5 to 15 minutes 16 12 $0.84
4010F 323 243 $0.00
3080F 60 51 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 14 12 $0.00
3075F 96 72 $0.00
G0008 Administration of influenza virus vaccine 17 12 $0.00
82044 30 27 $0.00
99497 14 12 $0.00
81003 15 13 $0.00