NP / PA
Mountain View Family Practice PLLC
Mountain View Family Practice PLLC was paid $69K by Medicaid between Jan 2018 and Oct 2019, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoMOUNTAIN VIEW FAMILY PRACTICE PLLC
LONDON, KY 40741
LONDON, KY 40741
33aNPI1265621213assigned 10/16/2007
33bProvider typeMedical Physician Assistant
28Total paid$69K
24GClaims4,767
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#28 of 45
Median peer was paid$258K
This provider vs. median0.3×
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 | 3,562 | $64K | |
| 2019 | 1,205 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 1,855 | 1,286 | $41K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 1,945 | 332 | $18K |
| 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 | 11% | 381 | 300 | $8K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 30 | 25 | $963.81 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 47 | 37 | $664.21 |
| 90686 | <1% | 26 | 21 | $269.63 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $226.97 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | 14 | $201.06 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 22 | 14 | $187.28 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 113 | 91 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 122 | 95 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 126 | 101 | $0.00 |
2 more codes
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 56 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 14 | $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 officialKREIS, SAMUEL (CEO/DOCTOR)