Physician
Mountain Creek Medical
Mountain Creek Medical was paid $926K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoMOUNTAIN CREEK MEDICAL
SYLVA, NC 28779
SYLVA, NC 28779
33aNPI1093787608assigned 02/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$926K
24GClaims68,521
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#145 of 960
Median peer was paid$135K
This provider vs. median6.9×
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 | 3,150 | $107K | |
| 2019 | 2,377 | $117K | |
| 2020 | 1,679 | $82K | |
| 2021 | 7,282 | $136K | |
| 2022 | 15,957 | $160K | |
| 2023 | 17,167 | $159K | |
| 2024incomplete | 20,909 | $165K |
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 | 41% | 5,756 | 4,919 | $381K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 5,673 | 4,824 | $276K |
| 99199 | Unlisted special service, procedure or report | 22% | 53,719 | 31,250 | $207K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 925 | 831 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 96 | 78 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 181 | 177 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | 50 | $6K |
| 99443 | <1% | 143 | 104 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 50 | 48 | $4K |
| 87449 | <1% | 255 | 231 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 78 | 69 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 228 | 215 | $3K |
17 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 173 | $911.30 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 204 | $762.27 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 15 | $620.70 |
| 90756 | <1% | 175 | $580.96 | |
| 99441 | <1% | 15 | $328.65 | |
| 99442 | <1% | 23 | $187.17 | |
| 90688 | <1% | 90 | $147.15 | |
| 96127 | <1% | 18 | $107.04 | |
| 3074F | <1% | 326 | $50.19 | |
| 81002 | <1% | 13 | $22.05 | |
| 3078F | <1% | 180 | $3.67 | |
| 90713 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90687 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $0.00 |
| 3079F | 0% | 30 | $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 officialFARMER, DEBRA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Westside Family Health Center | Culver City, CA | $15.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.