Clinic
East Mountain Health Physicians, INC.
East Mountain Health Physicians, INC. was paid $5.15M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
RANSON, WV 25438
RANSON, WV 25438
33aNPI1659806602assigned 04/27/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$5.15M
24GClaims143,957
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in West Virginia
Rank by total paid#1 of 9
Median peer was paid$906K
This provider vs. median5.7×
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 JOHNSON, RENEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 29,241 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 29,092 | 25,568 | $1.63M |
| 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 | 29% | 19,779 | 18,079 | $1.51M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 7,928 | 7,508 | $551K |
| 87428 | 7.7% | 11,251 | 10,365 | $394K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.3% | 3,089 | 2,953 | $323K |
| 87430 | 3.7% | 14,348 | 12,930 | $192K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 8,876 | 8,386 | $152K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 7,882 | 3,700 | $117K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 3,578 | 3,329 | $117K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 386 | 354 | $44K |
| 94760 | <1% | 2,927 | 2,794 | $21K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,003 | 908 | $20K |
37 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 549 | $19K |
| 81003 | <1% | 3,559 | $14K | |
| 87807 | <1% | 677 | $7K | |
| 81025 | <1% | 759 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 646 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 578 | $6K |
| 73630 | <1% | 209 | $4K | |
| 73610 | <1% | 183 | $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 | <1% | 68 | $3K |
| 93000 | <1% | 320 | $3K | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 567 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $2K |
| 73130 | <1% | 75 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 189 | $1K |
| 73564 | <1% | 26 | $805.91 | |
| 80047 | <1% | 74 | $782.65 | |
| 85027 | <1% | 97 | $533.83 | |
| 86308 | <1% | 119 | $477.92 | |
| 29125 | <1% | 12 | $445.25 | |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 13 | $427.72 |
| 73110 | <1% | 15 | $318.34 | |
| 87081 | <1% | 15 | $279.41 | |
| 73140 | <1% | 13 | $259.31 | |
| 69209 | <1% | 32 | $210.68 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 80 | $193.82 |
| 99000 | <1% | 2,264 | $149.30 | |
| 82962 | <1% | 17 | $33.80 | |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 29 | $31.87 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 118 | $9.09 |
| 36416 | <1% | 39 | $0.10 | |
| 3078F | 0% | 6,163 | $0.00 | |
| 3077F | 0% | 2,383 | $0.00 | |
| 99051 | 0% | 17 | $0.00 | |
| 3075F | 0% | 2,394 | $0.00 | |
| 3074F | 0% | 6,447 | $0.00 | |
| 3080F | 0% | 1,635 | $0.00 | |
| 3079F | 0% | 3,394 | $0.00 |
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 officialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.