Agency
Mountain Health Care
Mountain Health Care was paid $28K by Medicaid between Dec 2020 and Feb 2022, across 7 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 61% of everything it billed.
33Billing provider infoMOUNTAIN HEALTH CARE
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1205468147assigned 02/09/2020
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$28K
24GClaims3,183
24DCodes billed7
24AFirst – last monthDec 2020 – Feb 2022
Compared with peers
Next to other Community/Behavioral Health Agency providers in Kentucky
Rank by total paid#140 of 152
Median peer was paid$938K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 324 | $4K | |
| 2021 | 2,567 | $21K | |
| 2022 | 292 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 61% | 377 | 114 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 846 | 349 | $6K |
| 99406 | 8.6% | 845 | 352 | $2K | |
| 80305 | 7.6% | 895 | 357 | $2K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 123 | 79 | $149.03 |
| 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 | <1% | 59 | 24 | $115.81 |
| 99407 | <1% | 38 | 13 | $57.08 |
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 officialSRIVASTAVA, SANJAY (ORGANIZER)