Clinic
Mountain State Ent & Facial Plastic Surgery, INC
Mountain State Ent & Facial Plastic Surgery, INC was paid $245K by Medicaid between Jan 2018 and Aug 2021, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoMOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1982604997assigned 08/01/2005
33bProvider typeMedical Specialty Clinic/Center
28Total paid$245K
24GClaims6,605
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Medical Specialty Clinic/Center providers in West Virginia
Rank by total paid#8 of 16
Median peer was paid$134K
This provider vs. median1.8×
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 | 3,253 | $142K | |
| 2019 | 1,865 | $62K | |
| 2020 | 1,198 | $33K | |
| 2021 | 289 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 1,015 | 908 | $65K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 839 | 758 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 989 | 894 | $41K |
| 92567 | 15% | 1,328 | 1,164 | $36K | |
| 92504 | 4.3% | 294 | 260 | $11K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 3.0% | 471 | 414 | $7K |
| 1036F | 2.5% | 398 | 355 | $6K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.2% | 340 | 298 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 191 | 177 | $5K |
| 31575 | 1.8% | 42 | 38 | $4K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 1.3% | 208 | 180 | $3K |
| 70486 | 1.1% | 14 | 13 | $3K |
3 more codes
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 officialPAINE, ALBERT (OWNER; PRESIDENT)