Physician
Mountain State Medical Specialties, PLLC
Mountain State Medical Specialties, PLLC was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1891892097assigned 09/20/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$3.64M
24GClaims66,780
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in West Virginia
Rank by total paid#2 of 9
Median peer was paid$691K
This provider vs. median5.3×
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 | 8,585 | $583K | |
| 2019 | 3,697 | $232K | |
| 2020 | 7,578 | $441K | |
| 2021 | 7,885 | $324K | |
| 2022 | 14,015 | $692K | |
| 2023 | 13,547 | $721K | |
| 2024incomplete | 11,473 | $648K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 18,443 | 16,753 | $863K |
| 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 | 19% | 9,637 | 8,732 | $701K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 6,177 | 5,776 | $408K |
| 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 | 9.9% | 3,488 | 3,291 | $362K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 9.1% | 6,747 | 6,095 | $332K |
| 17110 | 6.4% | 3,467 | 3,112 | $234K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 6.0% | 2,759 | 1,484 | $219K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.2% | 2,883 | 2,698 | $154K |
| 11102 | 3.2% | 2,283 | 2,049 | $117K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,388 | 1,278 | $48K |
| 11100 | 1.1% | 507 | 403 | $40K | |
| 94010 | 1.0% | 1,277 | 1,131 | $36K |
20 more codes
| 95117 | <1% | 2,732 | $24K | |
| 17000 | <1% | 796 | $23K | |
| 11104 | <1% | 318 | $22K | |
| 17311 | <1% | 52 | $11K | |
| 11103 | <1% | 244 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 799 | $9K |
| 11900 | <1% | 316 | $8K | |
| 81025 | <1% | 1,184 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 437 | $4K |
| 12032 | <1% | 15 | $2K | |
| 17003 | <1% | 165 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 65 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 62 | $1K |
| 80061 | Lipid panel | <1% | 43 | $824.25 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 420 | $795.35 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 16 | $444.84 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | $212.36 |
| 90674 | <1% | 13 | $144.88 | |
| 95115 | <1% | 18 | $100.30 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 17 | $75.28 |
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 officialKIRKLAND, EUGENE (CMO)