Mountainheart Community Services, INC

Mountainheart Community Services, INC was paid $1.23M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is G9002, Coordinated care fee, maintenance rate — 100% of everything it billed.

33Billing provider infoMOUNTAINHEART COMMUNITY SERVICES, INC
KOPPERSTON, WV 24854

33aNPI1932326121assigned 04/19/2007

33bProvider typeCase Management Agency

28Total paid$1.23M

24GClaims8,774

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in West Virginia

Rank by total paid#21 of 72

Median peer was paid$365K

This provider vs. median3.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code G9002 with only 1 total codes billed. Highly concentrated billing profile.

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	760	$54K
2019	698	$56K
2020	753	$59K
2021	866	$103K
2022	1,167	$154K
2023	1,752	$311K
2024incomplete	2,778	$499K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9002	Coordinated care fee, maintenance rate	100%	8,774	8,736	$1.23M

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 officialSMITH, EARL (EXECUTIVE DIRECTOR)

Same official

Other billing entities under SMITH, EARL

Full network →

Provider	Location	Paid
Integrated Resources, INC.	Maben, WV	$3.78M
Integrated Resources, INC.	Maben, WV	$185K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.