Physician
High Mountain Healthcare, LLC
High Mountain Healthcare, LLC was paid $168K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 77% of everything it billed.
33Billing provider infoHIGH MOUNTAIN HEALTHCARE, LLC
BLAIRSVILLE, GA 30512
BLAIRSVILLE, GA 30512
33aNPI1417088865assigned 03/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$168K
24GClaims34,134
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#31 of 162
Median peer was paid$12K
This provider vs. median14×
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 | 187 | $8K | |
| 2019 | 165 | $6K | |
| 2020 | 38 | $1K | |
| 2021 | 4,328 | $22K | |
| 2022 | 10,087 | $39K | |
| 2023 | 9,620 | $41K | |
| 2024incomplete | 9,709 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 77% | 26,387 | 13,443 | $130K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 589 | 495 | $34K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.5% | 18 | 18 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 48 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 111 | 103 | $769.56 |
| 3008F | 0% | 1,191 | 913 | $0.00 | |
| 1036F | 0% | 844 | 639 | $0.00 | |
| 3074F | 0% | 434 | 342 | $0.00 | |
| 1159F | 0% | 1,979 | 1,393 | $0.00 | |
| 3078F | 0% | 435 | 343 | $0.00 | |
| 1160F | 0% | 2,096 | 1,484 | $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 officialBRADFORD, TERESA (PROVIDER/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Athena Therapy Holding Co | Warren, OH | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.