Mountain Empire Radiology INC PC

Mountain Empire Radiology INC PC was paid $4.56M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 31% of everything it billed.

33Billing provider infoMOUNTAIN EMPIRE RADIOLOGY INC PC
JOHNSON CITY, TN 37604

33aNPI1093762759assigned 05/28/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$4.56M

24GClaims345,080

24DCodes billed94

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Diagnostic Radiology Physician providers in Tennessee

Rank by total paid#3 of 174

Median peer was paid$21K

This provider vs. median218×

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	55,478	$608K
2019	56,573	$671K
2020	41,939	$523K
2021	49,093	$688K
2022	49,729	$737K
2023	54,661	$858K
2024incomplete	37,607	$480K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74177	Computed tomography, abdomen and pelvis; with contrast material	31%	35,009	31,335	$1.43M
70450	Computed tomography, head or brain; without contrast material	13%	38,394	33,721	$580K
74176	Computed tomography, abdomen and pelvis; without contrast material	9.5%	11,613	10,404	$434K
71045	Radiologic examination, chest; single view	8.8%	115,883	99,183	$400K
71046	Radiologic examination, chest; 2 views	5.8%	46,886	44,377	$265K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	4.8%	4,084	3,723	$219K
77067	Screening mammography, bilateral, including computer-aided detection	3.8%	10,965	10,419	$173K
71275	Computed tomographic angiography, chest, with contrast material	3.1%	5,310	4,776	$143K
74018		2.3%	21,267	19,047	$105K
76705	Ultrasound, abdominal, real time with image documentation; limited	2.3%	6,805	6,204	$104K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	1.8%	2,795	2,541	$81K
72125	Computed tomography, cervical spine; without contrast material	1.5%	3,397	2,910	$67K

82 more codes

71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	2,046	$42K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	1,476	$42K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	1,908	$37K
76830	Ultrasound, transvaginal	<1%	1,246	$29K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	876	$29K
71250		<1%	1,866	$29K
70496		<1%	590	$26K
72141		<1%	714	$21K
73630		<1%	4,505	$20K
76770		<1%	819	$19K
78815	Positron emission tomography (PET) for limited area imaging	<1%	748	$17K
70498		<1%	584	$15K
73562		<1%	2,977	$14K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	472	$13K
74230		<1%	1,177	$12K
76885		<1%	465	$12K
76536		<1%	886	$12K
77063	Screening digital breast tomosynthesis, bilateral	<1%	1,756	$12K
73610		<1%	2,347	$11K
72100		<1%	1,930	$11K
93975		<1%	276	$11K
71271		<1%	855	$11K
73130		<1%	1,746	$8K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	246	$8K
72158		<1%	153	$7K
72131		<1%	324	$6K
73030		<1%	1,525	$6K
93971		<1%	725	$6K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	333	$6K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	234	$6K
74240		<1%	222	$5K
78227		<1%	187	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	351	$4K
93976		<1%	207	$4K
99232	Hospital visit by a doctor, follow-up day	<1%	245	$3K
73221		<1%	117	$3K
74022		<1%	355	$3K
70491		<1%	124	$3K
73110		<1%	492	$2K
G0297	Low dose ct scan (ldct) for lung cancer screening	<1%	173	$2K
72156		<1%	41	$2K
77072		<1%	351	$2K
76775		<1%	220	$2K
76376		<1%	939	$2K
99152		<1%	194	$2K
93970		<1%	198	$2K
74019		<1%	266	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	59	$2K
49083		<1%	18	$2K
73502		<1%	358	$1K
76506		<1%	68	$1K
74245		<1%	39	$1K
99221		<1%	41	$956.22
74183		<1%	30	$879.52
78264		<1%	46	$794.34
72128		<1%	27	$744.34
76641		<1%	25	$741.86
76801		<1%	15	$633.36
76886		<1%	28	$627.35
76819	Fetal biophysical profile; without non-stress testing	<1%	21	$554.42
73080		<1%	112	$521.81
74178		<1%	18	$504.29
93922		<1%	151	$500.01
93880		<1%	73	$484.43
73590		<1%	120	$459.98
77080		<1%	159	$433.68
76642		<1%	27	$424.58
77012		<1%	32	$381.51
76937		<1%	103	$330.91
70486		<1%	15	$319.87
77085		<1%	280	$315.77
72081		<1%	31	$302.55
78226		<1%	12	$285.20
77065	Tomosynthesis, mammo	<1%	15	$273.34
73090		<1%	58	$245.47
72110		<1%	45	$201.22
99213	Doctor's office visit, returning patient (routine)	<1%	30	$194.53
72072		<1%	27	$130.66
72040		<1%	29	$128.88
99153	Mod sedat endo service >5yrs	<1%	45	$89.97
73140		<1%	14	$57.91
78306		<1%	14	$39.75

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 officialLUCAS, DAVID (PRACTICE ADMINISTRATOR)