Clinic
Montgomery Medical Associates LLC
Montgomery Medical Associates LLC was paid $635K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMONTGOMERY MEDICAL ASSOCIATES LLC
MONTGOMERY, IN 47558
MONTGOMERY, IN 47558
33aNPI1023205754assigned 09/26/2007
33bProvider typeClinic/Center
28Total paid$635K
24GClaims15,828
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Indiana
Rank by total paid#15 of 53
Median peer was paid$101K
This provider vs. median6.3×
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 | 2,200 | $48K | |
| 2019 | 1,466 | $61K | |
| 2020 | 1,989 | $82K | |
| 2021 | 2,327 | $108K | |
| 2022 | 3,412 | $135K | |
| 2023 | 2,495 | $114K | |
| 2024incomplete | 1,939 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 6,281 | 4,952 | $308K |
| 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 | 34% | 3,723 | 3,182 | $214K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 2,075 | 1,866 | $73K |
| 99307 | 3.0% | 903 | 660 | $19K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.4% | 1,420 | 1,060 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,258 | 1,069 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | 72 | $1K |
| 99305 | <1% | 20 | 20 | $612.00 | |
| 90686 | <1% | 31 | 23 | $429.81 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 27 | 22 | $0.00 |
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 officialHOLSOPPLE, MARY JOAN (PRACTICE MANAGER)