MOUNTAINHEART COMMUNITY SERVICES, INC
NPI: 1932326121
· KOPPERSTON, WV 24854
· Case Management Agency
· NPI assigned 04/19/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code G9002 with only 1 total codes billed. Highly concentrated billing profile.
$1.23M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, EARL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/19/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, EARL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
760 |
$54K |
| 2019 |
698 |
$56K |
| 2020 |
753 |
$59K |
| 2021 |
866 |
$103K |
| 2022 |
1,167 |
$154K |
| 2023 |
1,752 |
$311K |
| 2024 |
2,778 |
$499K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9002 |
Coordinated care fee, maintenance rate |
8,774 |
8,736 |
$1.23M |