Physician
East Mountain Health Physicians, INC.
East Mountain Health Physicians, INC. was paid $216K by Medicaid between Jan 2018 and Sep 2022, across 10 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 38% of everything it billed.
33Billing provider infoEAST MOUNTAIN HEALTH PHYSICIANS, INC.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1831638519assigned 02/15/2017
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$216K
24GClaims3,209
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2022
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 | 263 | $19K | |
| 2019 | 151 | $13K | |
| 2020 | 670 | $51K | |
| 2021 | 1,052 | $66K | |
| 2022 | 1,073 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 38% | 1,176 | 1,086 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 861 | 749 | $47K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 17% | 350 | 327 | $37K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 13% | 451 | 409 | $27K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.3% | 125 | 80 | $7K |
| 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 | 3.2% | 71 | 66 | $7K |
| 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 | 1.6% | 48 | 43 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | 64 | $2K |
| 76801 | <1% | 31 | 25 | $2K | |
| 76813 | <1% | 15 | 12 | $991.20 |
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 officialBECHAMPS, GERALD (CEO)
Parent organizationEAST MOUNTAIN HEALTH PHYSICIANS, INC.
| Provider | Location | Paid |
|---|---|---|
| Hampshire Memorial Hospital, INC. | Romney, WV | $642K |
| East Mountain Health Physicians INC. | Martinsburg, WV | $60K |
| East Mountain Health Physicians INC | Falling Waters, WV | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.