Mountain States Health Alliance

Mountain States Health Alliance was paid $140K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoMOUNTAIN STATES HEALTH ALLIANCE
MOUNTAIN CITY, TN 37683

33aNPI1205846508assigned 08/09/2006

33bProvider typeFamily Medicine Physician

28Total paid$140K

24GClaims11,891

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#205 of 754

Median peer was paid$34K

This provider vs. median4.1×

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	1,785	$25K
2019	1,610	$22K
2020	765	$9K
2021	675	$10K
2022	2,008	$14K
2023	3,211	$31K
2024incomplete	1,837	$30K

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	60%	4,294	3,074	$84K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	3,106	2,449	$48K
99442		1.5%	221	187	$2K
99441		1.2%	215	166	$2K
90686		1.0%	337	268	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	18	12	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	23	14	$520.20
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	79	38	$303.29
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	13	12	$133.52
G0444	Annual depression screening, 5 to 15 minutes	<1%	143	97	$118.31
3078F		<1%	1,126	768	$110.00
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%	90	74	$92.11

9 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	18	$89.48
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	201	$85.17
3074F		<1%	1,036	$80.00
3077F		<1%	219	$80.00
G0008	Administration of influenza virus vaccine	<1%	106	$15.42
3075F		<1%	60	$10.00
4010F		0%	525	$0.00
3079F		0%	33	$0.00
99397		0%	28	$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 officialTAYLOR, DWAYNE (CEO)