Medicaid Provider Spending

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

EAST MOUNTAIN HEALTH PHYSICIANS INC.

NPI: 1598204273 · RANSON, WV 25438 · Internal Medicine Physician · NPI assigned 02/15/2017

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

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$306K
Total Medicaid Paid
6,776
Total Claims
6,085
Beneficiaries
13
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MGR INS CREDENTIALING)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date02/15/2017

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 496 $16K
2019 324 $15K
2020 904 $60K
2021 1,418 $60K
2022 1,381 $55K
2023 1,435 $51K
2024 818 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,680 3,275 $247K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,102 1,019 $49K
99215 Prolong outpt/office vis 53 51 $5K
90686 38 38 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $775.67
3074F 668 594 $0.00
3079F 314 285 $0.00
3075F 62 55 $0.00
3080F 33 29 $0.00
3077F 184 167 $0.00
3078F 583 515 $0.00