Mountain Medical Enterprises, PLLC

Mountain Medical Enterprises, PLLC was paid $1.29M by Medicaid between Jan 2018 and Dec 2019, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoMOUNTAIN MEDICAL ENTERPRISES, PLLC
HARLAN, KY 40831

33aNPI1093897290assigned 10/19/2006

33bProvider typeEmergency Medicine Physician

28Total paid$1.29M

24GClaims26,976

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#15 of 91

Median peer was paid$34K

This provider vs. median38×

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	13,735	$700K
2019	13,241	$594K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	50%	8,805	7,637	$653K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	8,199	7,357	$422K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	14%	5,457	4,942	$181K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.7%	4,359	3,413	$22K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.1%	116	104	$15K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	40	38	$636.23

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 officialAHMAD, AMIR (PRESIDENT)