Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN STATES HEALTH ALLIANCE

NPI: 1891973939 · LEBANON, VA 24266 · General Acute Care Hospital · NPI assigned 01/31/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more

$11.37M
Total Medicaid Paid
316,429
Total Claims
254,453
Beneficiaries
158
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, SHANE (EVP/CFO)
NPI Enumeration Date01/31/2008

Related Entities

Other providers sharing the same authorized official: HILTON, SHANE

ProviderCityStateTotal Paid
JOHNSTON MEMORIAL HOSPITAL, INC ABINGDON VA $35.91M
WELLMONT HEALTH SYSTEM BIG STONE GAP VA $33.71M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $31.31M
WELLMONT MEDICAL ASSOCIATES INC KINGSPORT TN $27.84M
WELLMONT HEALTH SYSTEM BRISTOL TN $27.35M
TAKOMA REGIONAL HOSPITAL INC GREENEVILLE TN $20.22M
WELLMONT HEALTH SYSTEM KINGSPORT TN $17.64M
MOUNTAIN STATES HEALTH ALLIANCE KINGSPORT TN $15.47M
SMYTH COUNTY COMMUNITY HOSPITAL MARION VA $15.33M
MOUNTAIN STATES HEALTH ALLIANCE PENNINGTON GAP VA $8.28M
MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY TN $8.14M
MOUNTAIN STATES HEALTH ALLIANCE ELIZABETHTON TN $7.25M
DICKENSON COMMUNITY HOSPITAL, INC. CLINTWOOD VA $6.94M
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC ROGERSVILLE TN $5.11M
EAST TENNESSEE HEALTHCARE HOLDINGS INC GRAY TN $3.30M
MOUNTAIN STATES HEALTH ALLIANCE MOUNTAIN CITY TN $3.03M
WELLMONT HEALTH SYSTEM SNEEDVILLE TN $1.90M
MOUNTAIN STATES HEALTH ALLIANCE ERWIN TN $1.48M
WILSON PHARMACY INC JOHNSON CITY TN $1.26M
MOUNTAIN STATES HEALTH ALLIANCE NORTON VA $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,640 $1.04M
2019 57,977 $1.55M
2020 41,580 $1.37M
2021 44,428 $1.73M
2022 45,463 $1.91M
2023 46,970 $2.15M
2024 32,371 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 19,826 16,929 $3.08M
99283 Emergency department visit for the evaluation and management, moderate severity 15,159 13,115 $1.99M
96361 Intravenous infusion, hydration; each additional hour 5,002 3,920 $1.17M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,692 7,392 $1.07M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,396 2,188 $496K
70450 Computed tomography, head or brain; without contrast material 2,605 2,280 $438K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,839 2,589 $385K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,966 1,751 $383K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,120 5,580 $308K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,515 1,931 $205K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,149 963 $186K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,033 1,587 $168K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,261 1,094 $130K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,126 2,715 $126K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 685 625 $122K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 804 675 $111K
80053 Comprehensive metabolic panel 24,214 18,886 $111K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,437 1,605 $107K
G0378 Hospital observation service, per hour 953 752 $83K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 188 183 $61K
71046 Radiologic examination, chest; 2 views 3,854 3,448 $46K
77067 Screening mammography, bilateral, including computer-aided detection 1,028 994 $45K
36415 Collection of venous blood by venipuncture 17,443 12,557 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,055 19,252 $31K
72100 1,264 1,172 $26K
87040 3,987 2,040 $23K
73562 1,574 1,312 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,590 1,445 $20K
84443 Thyroid stimulating hormone (TSH) 4,780 4,267 $19K
83880 2,627 2,125 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 72 51 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,863 5,926 $15K
80048 Basic metabolic panel (calcium, ionized) 3,101 2,517 $15K
73130 1,142 993 $14K
76705 Ultrasound, abdominal, real time with image documentation; limited 144 131 $13K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,248 1,061 $13K
73610 1,071 927 $13K
80061 Lipid panel 2,472 2,278 $13K
73630 1,151 995 $12K
73030 742 667 $12K
80329 1,135 531 $12K
71250 164 156 $12K
71045 Radiologic examination, chest; single view 5,454 4,502 $10K
84484 7,011 4,806 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,457 5,147 $10K
83036 Hemoglobin; glycosylated (A1C) 2,130 1,989 $10K
73110 507 429 $9K
82607 1,869 1,681 $9K
J3490 Unclassified drugs 1,610 1,226 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,560 7,100 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 50 30 $6K
71275 Computed tomographic angiography, chest, with contrast material 28 27 $6K
72125 Computed tomography, cervical spine; without contrast material 113 105 $6K
97035 107 36 $5K
85027 2,499 2,155 $5K
82728 1,468 1,297 $5K
95811 13 12 $5K
74018 428 387 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 217 212 $4K
80320 775 631 $4K
81001 7,358 6,356 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 660 593 $3K
90715 196 186 $3K
83605 3,159 2,416 $3K
83550 754 705 $3K
84439 541 488 $3K
12001 13 13 $3K
96375 Therapeutic injection; each additional sequential IV push 5,769 4,506 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 183 149 $3K
83690 5,441 4,576 $3K
83540 1,394 1,254 $2K
83735 3,127 2,357 $2K
86140 990 851 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,482 3,623 $2K
81003 4,666 4,061 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 16 15 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 13 $2K
85379 432 387 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 16 13 $2K
85610 1,722 1,247 $2K
73502 151 130 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 13 $1K
87086 Culture, bacterial; quantitative colony count, urine 1,482 1,308 $1K
87088 1,053 876 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 216 187 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,604 3,253 $1K
87186 1,177 1,023 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 326 91 $1K
93971 16 13 $1K
81025 2,435 2,200 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 496 409 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,072 4,288 $1K
97014 82 25 $1K
82570 359 328 $1K
87077 1,923 1,750 $1K
80143 503 453 $990.95
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,514 1,597 $923.59
96523 15 12 $851.39
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,074 896 $805.82
82043 267 254 $666.89
85651 433 367 $646.52
96376 1,718 1,209 $632.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,868 1,758 $606.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 279 244 $593.70
J0696 Injection, ceftriaxone sodium, per 250 mg 2,726 2,168 $548.40
97162 41 38 $533.43
82746 236 211 $504.95
73080 42 38 $498.67
80179 492 444 $483.40
85652 563 463 $478.40
87522 Neg quan hep c or qual rna 24 14 $430.34
84466 498 418 $415.08
82140 284 225 $385.72
0202U Oncology (prostate), multianalyte, gene expression profiling 42 40 $375.96
J2270 Injection, morphine sulfate, up to 10 mg 1,360 990 $324.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,656 1,440 $293.19
J7030 Infusion, normal saline solution , 1000 cc 760 588 $261.12
84703 1,092 990 $236.28
83615 359 269 $235.29
84100 286 227 $199.31
80076 15 13 $182.93
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 12 $93.34
J2060 Injection, lorazepam, 2 mg 79 62 $91.64
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 904 694 $73.27
87081 751 695 $72.64
J0780 Injection, prochlorperazine, up to 10 mg 1,122 967 $64.52
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,462 1,388 $61.87
74022 13 13 $57.50
85007 81 76 $47.22
80074 13 12 $45.95
82803 119 92 $30.30
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $29.83
82550 136 119 $28.68
85730 54 49 $25.66
82533 19 13 $22.66
J2360 Injection, orphenadrine citrate, up to 60 mg 390 333 $21.13
J8540 Dexamethasone, oral, 0.25 mg 101 77 $19.58
J2550 Injection, promethazine hcl, up to 50 mg 249 176 $16.85
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 323 222 $15.72
85045 15 15 $15.51
87807 130 124 $13.58
J1200 Injection, diphenhydramine hcl, up to 50 mg 192 167 $12.67
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 95 81 $9.42
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 79 64 $4.20
J2250 Injection, midazolam hydrochloride, per 1 mg 31 29 $3.24
J7050 Infusion, normal saline solution, 250 cc 50 30 $2.95
J1170 Injection, hydromorphone, up to 4 mg 25 12 $2.67
J7120 Ringers lactate infusion, up to 1000 cc 49 38 $1.85
C9113 Injection, pantoprazole sodium, per vial 19 14 $1.13
J1650 Injection, enoxaparin sodium, 10 mg 17 12 $1.12
J2919 Injection, methylprednisolone sodium succinate, 5 mg 77 67 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 76 62 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 15 15 $0.00
94760 306 140 $0.00
A9270 Non-covered item or service 41 28 $0.00
J2704 Injection, propofol, 10 mg 78 69 $0.00
82150 17 14 $0.00
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 15 14 $0.00