EAST MOUNTAIN HEALTH PHYSICIANS, INC.

$5.15M

Total Medicaid Paid

143,957

Total Claims

127,257

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		29,092	25,568	$1.63M
99214		19,779	18,079	$1.51M
99203		7,928	7,508	$551K
87428		11,251	10,365	$394K
99204		3,089	2,953	$323K
87430		14,348	12,930	$192K
87880		8,876	8,386	$152K
87804		7,882	3,700	$117K
87426		3,578	3,329	$117K
99215	Prolong outpt/office vis	386	354	$44K
94760		2,927	2,794	$21K
71046		1,003	908	$20K
99212		549	506	$19K
81003		3,559	3,249	$14K
87807		677	612	$7K
81025		759	682	$7K
96372		646	553	$6K
94640		578	518	$6K
73630		209	186	$4K
73610		183	150	$4K
U0003	Cov-19 amp prb hgh thruput	68	64	$3K
93000		320	296	$3K
J7613	Albuterol non-comp unit	567	514	$2K
99202		43	43	$2K
73130		75	62	$1K
36415		189	175	$1K
73564		26	24	$805.91
80047		74	67	$782.65
85027		97	93	$533.83
86308		119	109	$477.92
29125		12	12	$445.25
E0114	Crutch underarm pair no wood	13	13	$427.72
73110		15	13	$318.34
87081		15	12	$279.41
73140		13	12	$259.31
69209		32	26	$210.68
J1885	Ketorolac tromethamine inj	80	68	$193.82
99000		2,264	2,107	$149.30
82962		17	15	$33.80
A6449	Lt compres band >=3" <5"/yd	29	28	$31.87
J7644	Ipratropium bromide non-comp	118	105	$9.09
36416		39	39	$0.10
3078F		6,163	5,437	$0.00
3077F		2,383	2,147	$0.00
99051		17	14	$0.00
3075F		2,394	2,193	$0.00
3074F		6,447	5,693	$0.00
3080F		1,635	1,495	$0.00
3079F		3,394	3,051	$0.00

Medicaid Provider Spending