Medicaid Provider Spending

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

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
8,774
Total Claims
8,736
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, EARL (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/19/2007

Related Entities

Other providers sharing the same authorized official: SMITH, EARL

ProviderCityStateTotal Paid
INTEGRATED RESOURCES, INC. MABEN WV $3.78M
INTEGRATED RESOURCES, INC. MABEN WV $185K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
G9002 Coordinated care fee, maintenance rate 8,774 8,736 $1.23M