Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMountain States Health Alliance
    Ask Trek AI about this page

    Mountain States Health Alliance — Billing Profile & Reimbursement Data

    NPI 1992813240 · Kingsport, TN · General Acute Care Hospital

    Customize your policy alerts

    Sign up for Mountain States Health Alliance — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Mountain States Health Alliance is a general acute care hospital provider located in Kingsport, Tennessee. This profile covers 0 Medicare and 147 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMountain States Health Alliance
    Address2000 Brookside Dr
    CityKingsport
    StateTN
    ZIP37660
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    147 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.27,120$200$5.3M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.11,110$230$2.5M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.18,720$130$2.5M
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…4,850$160$794.9K
    G0463Hospital outpatient clinic visit for assessment and management of a patient15,180$40$576.6K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.4,030$120$467.8K
    0241UN/A5,340$80$427.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…66,920$1$267.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.56,100$1$224.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.53,560$1$214.2K

    Showing 1–10 of 147

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    147 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient11601,340$50$1.1M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.50630510$120$1.1M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.64610570$110$884.4K
    J0585Injection, onabotulinumtoxina, 1 unit1720200$880$709.1K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.53570640$100$637.8K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…3201,060$210$535.6K
    U0003Infectious 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…52100400$60$524.7K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.3013401,400$40$354.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…17401,860$70$294.9K
    G0378Hospital observation service, per hour60100410$210$264K

    Showing 1–10 of 147

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mountain States Health Alliance, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnston Memorial Hospital, IncVAGeneral Acute Care Hospital$0$35.9M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$31.3M
    Mountain States Health AllianceVAGeneral Acute Care Hospital$0$11.4M
    Mountain States Health AllianceVACritical Access Hospital$0$8.3M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$8.1M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$7.2M
    Mountain States Health AllianceTNCritical Access Hospital$0$3M
    Charlotte TownsendVAFamily Medicine Physician$227.2K$33.9K
    Dane LeeVAFamily Medicine Physician$59.9K$88.1K
    Marta WaytTNInternal Medicine Physician$118K$0

    Nearby Providers

    Other providers in the same ZIP code as Mountain States Health Alliance, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holston Medical Group PCTNFamily Medicine Physician$0$37M
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$17.6M
    Watauga Dental Center, PLLCTNGeneral Practice Dentistry$0$8M
    LovinginhomecareincTNIn Home Supportive Care Agency$0$5.3M
    Harville Orthodontics PLLCTNOrthodontics and Dentofacial Orthopedics Dentistry$0$4.7M
    Sbh-kingsportTNPsychiatric Hospital$0$4M
    Thompson Delivery Services LLCTNNon-emergency Medical Transport (VAN)$0$3.2M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M
    Blue Ridge Medical Management CorporationTNPediatrics Physician$0$2.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Mountain States Health Alliance — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee