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

Mountain States Health Alliance

Mountain States Health Alliance was paid $10K by Medicaid between May 2018 and Feb 2021, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoMOUNTAIN STATES HEALTH ALLIANCE
SAINT PAUL, VA 24283
33aNPI1609054733assigned 01/31/2008
28Total paid$10K
24GClaims276
24DCodes billed1
24AFirst – last monthMay 2018 – Feb 2021
Compared with peers

Next to other Rural Health Clinic/Center providers in Virginia

Rank by total paid#54 of 66
Median peer was paid$195K
This provider vs. median0.0×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018112$2K
201977$3K
202075$4K
202112$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 276 213 $10K

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.