Physician
Mountain Comprehensive Health Corporation
Mountain Comprehensive Health Corporation was paid $92K by Medicaid between Jan 2018 and Sep 2020, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoMOUNTAIN COMPREHENSIVE HEALTH CORPORATION
WHITESBURG, KY 41858
WHITESBURG, KY 41858
33aNPI1033166350assigned 05/30/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$92K
24GClaims4,777
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Cardiovascular Disease Physician providers in Kentucky
Rank by total paid#18 of 47
Median peer was paid$23K
This provider vs. median3.9×
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 | 3,769 | $73K | |
| 2019 | 963 | $19K | |
| 2020 | 45 | $0.00 |
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 | 46% | 1,464 | 1,134 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 836 | 328 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | 15% | 357 | 312 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 333 | 265 | $7K |
| 93000 | 3.9% | 223 | 202 | $4K | |
| 94010 | 3.2% | 150 | 146 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | 2.9% | 269 | 253 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 32 | 27 | $2K |
| 85027 | 1.6% | 289 | 260 | $1K | |
| 80053 | Comprehensive metabolic panel | 1.4% | 155 | 140 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 458 | 408 | $729.37 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 120 | 111 | $729.12 |
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 officialCAUDILL, L.M. (MIKE) (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mountain Comprehensive Health Corporation | Whitesburg, KY | $62.46M |
| Mountain Comprehensive Health Corporation | Whitesburg, KY | $1.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.