Appalachian Mountains Medical, LLC

Appalachian Mountains Medical, LLC was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99284, emergency room visit (serious) — 36% of everything it billed.

33Billing provider infoAPPALACHIAN MOUNTAINS MEDICAL, LLC
WELCH, WV 24801

33aNPI1881023117assigned 11/07/2013

33bProvider typeAnesthesiology Physician

28Total paid$1.65M

24GClaims41,299

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Anesthesiology Physician providers in West Virginia

Rank by total paid#6 of 19

Median peer was paid$529K

This provider vs. median3.1×

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	6,476	$409K
2019	3,442	$120K
2020	4,388	$182K
2021	5,882	$162K
2022	6,528	$213K
2023	7,426	$294K
2024incomplete	7,157	$274K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	6,652	6,228	$589K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	14%	1,734	1,638	$232K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	4,148	3,928	$212K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.6%	4,956	4,085	$158K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	7.3%	4,433	4,092	$121K
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	4.3%	1,396	1,190	$72K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.9%	2,597	2,148	$48K
99308	Subsequent nursing facility care, per day, straightforward	2.4%	2,710	2,464	$40K
74177	Computed tomography, abdomen and pelvis; with contrast material	2.4%	665	627	$40K
71046	Radiologic examination, chest; 2 views	2.2%	4,498	4,208	$37K
74022		1.5%	2,095	1,931	$24K
70450	Computed tomography, head or brain; without contrast material	1.2%	808	762	$20K

19 more codes

99282	Emergency department visit for the evaluation and management, low to moderate severity	1.2%	697	$20K
71045	Radiologic examination, chest; single view	<1%	2,714	$15K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	237	$13K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	129	$3K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	100	$2K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	55	$2K
99232	Hospital visit by a doctor, follow-up day	<1%	54	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	26	$1K
72110		<1%	140	$1K
77063	Screening digital breast tomosynthesis, bilateral	<1%	46	$754.40
73562		<1%	122	$738.34
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	28	$697.88
73130		<1%	77	$386.76
73610		<1%	57	$291.48
73630		<1%	46	$257.80
73030		<1%	29	$173.01
74018		<1%	24	$141.45
73110		<1%	13	$61.77
73090		<1%	13	$60.60

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 officialKEITH, PATRICIA (MANAGER)