Health Care Alliance, INC.
Health Care Alliance, INC. was paid $25.07M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.
BECKLEY, WV 25801
Next to other Hospitalist Physician providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 47,682 | $5.53M | |
| 2019 | 28,153 | $4.21M | |
| 2020 | 43,458 | $6.34M | |
| 2021 | 43,352 | $2.98M | |
| 2022 | 44,687 | $3.28M | |
| 2023 | 26,037 | $1.85M | |
| 2024incomplete | 11,568 | $876K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 51% | 89,049 | 80,217 | $12.76M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 79,225 | 72,192 | $8.23M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 46,931 | 43,350 | $2.77M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.1% | 3,605 | 3,375 | $526K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 14,463 | 13,286 | $441K |
| 99053 | <1% | 9,038 | 8,367 | $246K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,121 | 1,063 | $31K |
| 71045 | Radiologic examination, chest; single view | <1% | 378 | 341 | $22K |
| 12001 | <1% | 465 | 452 | $13K | |
| 31500 | <1% | 107 | 100 | $9K | |
| 10061 | <1% | 52 | 52 | $6K | |
| 12011 | <1% | 154 | 147 | $5K |
10 more codes
| 12002 | <1% | 109 | $4K | |
| 99292 | <1% | 37 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 37 | $2K |
| 92950 | <1% | 13 | $1K | |
| 29125 | <1% | 40 | $866.98 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 45 | $765.00 |
| 36556 | <1% | 14 | $719.74 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 28 | $433.06 |
| 29515 | <1% | 12 | $398.38 | |
| G2213 | Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure) | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.