NP / PA
Mountain Medical Services PLLC
Mountain Medical Services PLLC was paid $465K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoMOUNTAIN MEDICAL SERVICES PLLC
KODAK, TN 37764
KODAK, TN 37764
33aNPI1053610717assigned 03/21/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$465K
24GClaims19,501
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#41 of 687
Median peer was paid$15K
This provider vs. median32×
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 | 2,469 | $60K | |
| 2019 | 4,553 | $91K | |
| 2020 | 3,701 | $83K | |
| 2021 | 3,097 | $76K | |
| 2022 | 2,426 | $69K | |
| 2023 | 2,102 | $61K | |
| 2024incomplete | 1,153 | $27K |
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 | 89% | 14,215 | 10,923 | $413K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.1% | 159 | 142 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 653 | 439 | $8K |
| 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 | 1.3% | 154 | 129 | $6K |
| 3008F | <1% | 975 | 818 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 46 | 38 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | 138 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 199 | 129 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 64 | 60 | $2K |
| 81002 | <1% | 1,062 | 888 | $2K | |
| 99401 | <1% | 116 | 84 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 29 | 27 | $1K |
16 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 150 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 190 | $963.65 |
| 99173 | <1% | 196 | $770.08 | |
| 92551 | <1% | 158 | $680.04 | |
| 99442 | <1% | 40 | $543.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 328 | $499.81 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 83 | $433.17 |
| 90674 | <1% | 17 | $291.72 | |
| 96127 | <1% | 84 | $253.92 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 124 | $222.57 |
| 90756 | <1% | 13 | $125.02 | |
| 98966 | <1% | 24 | $109.86 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 188 | $100.57 |
| 80305 | <1% | 14 | $74.84 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 40 | $64.66 |
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 officialBARNES, ROGER (DOCTOR)