MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
NPI: 1891892097
· BRIDGEPORT, WV 26330
· 207K00000X
$3.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,585 |
$583K |
| 2019 |
3,697 |
$232K |
| 2020 |
7,578 |
$441K |
| 2021 |
7,885 |
$324K |
| 2022 |
14,015 |
$692K |
| 2023 |
13,547 |
$721K |
| 2024 |
11,473 |
$648K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
18,443 |
16,753 |
$863K |
| 99214 |
|
9,637 |
8,732 |
$701K |
| 99203 |
|
6,177 |
5,776 |
$408K |
| 99204 |
|
3,488 |
3,291 |
$362K |
| 88305 |
|
6,747 |
6,095 |
$332K |
| 17110 |
|
3,467 |
3,112 |
$234K |
| 95004 |
|
2,759 |
1,484 |
$219K |
| 99202 |
|
2,883 |
2,698 |
$154K |
| 11102 |
|
2,283 |
2,049 |
$117K |
| 99212 |
|
1,388 |
1,278 |
$48K |
| 11100 |
|
507 |
403 |
$40K |
| 94010 |
|
1,277 |
1,131 |
$36K |
| 95117 |
|
2,732 |
1,606 |
$24K |
| 17000 |
|
796 |
672 |
$23K |
| 11104 |
|
318 |
288 |
$22K |
| 17311 |
|
52 |
37 |
$11K |
| 11103 |
|
244 |
232 |
$10K |
| 36415 |
|
799 |
683 |
$9K |
| 11900 |
|
316 |
256 |
$8K |
| 81025 |
|
1,184 |
1,052 |
$8K |
| 96372 |
|
437 |
306 |
$4K |
| 12032 |
|
15 |
14 |
$2K |
| 17003 |
|
165 |
152 |
$2K |
| 80053 |
|
65 |
59 |
$1K |
| 85025 |
|
62 |
58 |
$1K |
| 80061 |
|
43 |
41 |
$824.25 |
| J3301 |
Triamcinolone acet inj nos |
420 |
351 |
$795.35 |
| 84443 |
|
16 |
13 |
$444.84 |
| 80048 |
|
12 |
12 |
$212.36 |
| 90674 |
|
13 |
12 |
$144.88 |
| 95115 |
|
18 |
12 |
$100.30 |
| G8427 |
Docrev cur meds by elig clin |
17 |
12 |
$75.28 |