HIGH MOUNTAIN HEALTHCARE, LLC
NPI: 1417088865
· BLAIRSVILLE, GA 30512
· Family Medicine Physician
· NPI assigned 03/08/2007
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | BRADFORD, TERESA (PROVIDER/OWNER) |
| NPI Enumeration Date | 03/08/2007 |
Related Entities
Other providers sharing the same authorized official: BRADFORD, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
187 |
$8K |
| 2019 |
165 |
$6K |
| 2020 |
38 |
$1K |
| 2021 |
4,328 |
$22K |
| 2022 |
10,087 |
$39K |
| 2023 |
9,620 |
$41K |
| 2024 |
9,709 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
26,387 |
13,443 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
495 |
$34K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
18 |
18 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
103 |
$769.56 |
| 3008F |
|
1,191 |
913 |
$0.00 |
| 1036F |
|
844 |
639 |
$0.00 |
| 3074F |
|
434 |
342 |
$0.00 |
| 1159F |
|
1,979 |
1,393 |
$0.00 |
| 3078F |
|
435 |
343 |
$0.00 |
| 1160F |
|
2,096 |
1,484 |
$0.00 |