Supplier
Mountaineer Home Medical, LLC
Mountaineer Home Medical, LLC was paid $3.01M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 35% of everything it billed.
33Billing provider infoMOUNTAINEER HOME MEDICAL, LLC
MORGANTOWN, WV 26501
MORGANTOWN, WV 26501
33aNPI1760474852assigned 08/16/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3.01M
24GClaims44,766
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in West Virginia
Rank by total paid#11 of 144
Median peer was paid$2K
This provider vs. median1,703×
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.
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 | 2,811 | $264K | |
| 2019 | 1,876 | $179K | |
| 2020 | 3,984 | $343K | |
| 2021 | 6,558 | $449K | |
| 2022 | 8,773 | $614K | |
| 2023 | 10,025 | $581K | |
| 2024incomplete | 10,739 | $577K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 35% | 13,446 | 12,713 | $1.04M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 34% | 2,535 | 2,389 | $1.03M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 6.6% | 505 | 259 | $200K |
| E0601 | Continuous positive airway pressure (cpap) device | 4.3% | 3,054 | 2,789 | $130K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 4.0% | 7,620 | 7,282 | $121K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 3.3% | 599 | 499 | $98K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.8% | 797 | 745 | $55K |
| E0570 | Nebulizer, with compressor | 1.7% | 1,930 | 1,822 | $50K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | 1.2% | 352 | 317 | $37K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.2% | 830 | 751 | $36K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1.0% | 310 | 293 | $32K |
| A7035 | Headgear used with positive airway pressure device | <1% | 1,270 | 1,189 | $25K |
20 more codes
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 646 | $22K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 435 | $20K |
| K0001 | Standard wheelchair | <1% | 816 | $16K |
| A7037 | Tubing used with positive airway pressure device | <1% | 929 | $15K |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | <1% | 302 | $14K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 2,258 | $14K |
| E1392 | Portable oxygen concentrator, rental | <1% | 1,148 | $9K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 277 | $8K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 490 | $6K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,309 | $5K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 819 | $5K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 286 | $5K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 35 | $4K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 347 | $4K |
| A7002 | Tubing, used with suction pump, each | <1% | 870 | $2K |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 22 | $2K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 228 | $1K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 14 | $414.85 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 264 | $297.14 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 23 | $61.24 |
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 officialJACKSON, MICHELLE (BILLING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Whole Life Health Support Services | Las Vegas, NV | $1.06M |
| Mountaineer Home Medical, LLC | Cumberland, MD | $28K |
| MJ NP in Family Health Care P. C. | Mastic, NY | $788.37 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.