Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1265621213assigned 10/16/2007
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20183,562$64K
20191,205$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)