Behavioral
High Country Community Health
High Country Community Health was paid $2.11M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoHIGH COUNTRY COMMUNITY HEALTH
NEWLAND, NC 28657
NEWLAND, NC 28657
33aNPI1083979082assigned 07/06/2012
33bProvider typeMental Health Counselor
28Total paid$2.11M
24GClaims64,338
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#50 of 321
Median peer was paid$192K
This provider vs. median11×
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 | 4,656 | $164K | |
| 2019 | 4,847 | $205K | |
| 2020 | 2,817 | $230K | |
| 2021 | 6,746 | $349K | |
| 2022 | 12,111 | $405K | |
| 2023 | 11,184 | $351K | |
| 2024incomplete | 21,977 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 72% | 9,948 | 6,767 | $1.52M |
| 99199 | Unlisted special service, procedure or report | 8.2% | 33,553 | 15,623 | $172K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 3,575 | 3,320 | $87K |
| D1110 | Prophylaxis - adult | 3.1% | 1,776 | 1,676 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 2,248 | 2,107 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 3,424 | 3,167 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 613 | 557 | $24K |
| D0140 | Limited oral evaluation - problem focused | <1% | 574 | 537 | $19K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 997 | 829 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 554 | 527 | $16K |
| 80305 | <1% | 1,178 | 757 | $14K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,493 | 1,358 | $13K |
23 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 179 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 543 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 128 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 520 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 83 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 102 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 101 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,006 | $633.17 |
| 0011A | <1% | 19 | $472.46 | |
| 96127 | <1% | 69 | $78.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $42.51 |
| 3074F | <1% | 529 | $0.75 | |
| 3079F | <1% | 249 | $0.47 | |
| 3078F | <1% | 382 | $0.45 | |
| 3077F | <1% | 46 | $0.05 | |
| 3075F | <1% | 31 | $0.04 | |
| 3080F | <1% | 29 | $0.02 | |
| D0603 | 0% | 200 | $0.00 | |
| 91301 | 0% | 26 | $0.00 | |
| D0602 | 0% | 29 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 15 | $0.00 |
| D1330 | 0% | 14 | $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 officialSALTHOUSE, ALICE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| High Country Community Health | Elkin, NC | $6.61M |
| High Country Community Health | Morganton, NC | $3.13M |
| High Country Community Health | Boone, NC | $2.86M |
| High Country Community Health | Connelly Springs, NC | $1.42M |
| High Country Community Health | Boone, NC | $988K |
| High Country Community Health | Boone, NC | $70K |
| High Country Community Health | Newland, NC | $33K |
| High Country Community Health | Morganton, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.