NP / PA
Mountain Family Medicine, LLC
Mountain Family Medicine, LLC was paid $113K by Medicaid between Nov 2019 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY MEDICINE, LLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1073079273assigned 02/13/2019
33bProvider typePhysician Assistant
28Total paid$113K
24GClaims4,318
24DCodes billed6
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#118 of 214
Median peer was paid$134K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 113 | $822.32 | |
| 2020 | 1,307 | $25K | |
| 2021 | 1,366 | $33K | |
| 2022 | 882 | $26K | |
| 2023 | 376 | $15K | |
| 2024incomplete | 274 | $12K |
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 | 53% | 2,523 | 1,952 | $60K |
| 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% | 1,463 | 1,293 | $52K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 13 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | 12 | $245.79 |
| 96127 | <1% | 64 | 57 | $159.04 | |
| 1160F | 0% | 239 | 176 | $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 officialDANIELS, BRIAN (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Brunswick Eye Care Associates, PA | Brunswick, ME | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.