Medicaid Provider Spending

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

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

NPI: 1659806602 · RANSON, WV 25438 · Urgent Care Clinic/Center · NPI assigned 04/27/2017

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

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$5.15M
Total Medicaid Paid
143,957
Total Claims
127,257
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
NPI Enumeration Date04/27/2017

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,129 $111K
2019 5,582 $289K
2020 10,047 $483K
2021 17,616 $796K
2022 39,226 $1.26M
2023 40,116 $1.13M
2024 29,241 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,092 25,568 $1.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,779 18,079 $1.51M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,928 7,508 $551K
87428 11,251 10,365 $394K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,089 2,953 $323K
87430 14,348 12,930 $192K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,876 8,386 $152K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,882 3,700 $117K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,578 3,329 $117K
99215 Prolong outpt/office vis 386 354 $44K
94760 2,927 2,794 $21K
71046 Radiologic examination, chest; 2 views 1,003 908 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 506 $19K
81003 3,559 3,249 $14K
87807 677 612 $7K
81025 759 682 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 646 553 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 578 518 $6K
73630 209 186 $4K
73610 183 150 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 68 64 $3K
93000 320 296 $3K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 567 514 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 43 43 $2K
73130 75 62 $1K
36415 Collection of venous blood by venipuncture 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 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 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 Injection, ketorolac tromethamine, per 15 mg 80 68 $193.82
99000 2,264 2,107 $149.30
82962 17 15 $33.80
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 29 28 $31.87
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 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