Clinic
Mountain Advanced Practice PLLC
Mountain Advanced Practice PLLC was paid $35K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 95% of everything it billed.
33Billing provider infoMOUNTAIN ADVANCED PRACTICE PLLC
FRANKLIN, NC 28734
FRANKLIN, NC 28734
33aNPI1447784095assigned 04/19/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$35K
24GClaims10,407
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#86 of 116
Median peer was paid$226K
This provider vs. median0.2×
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 | 235 | $0.00 | |
| 2019 | 229 | $35.89 | |
| 2020 | 146 | $0.00 | |
| 2021 | 1,031 | $7K | |
| 2022 | 2,320 | $8K | |
| 2023 | 2,877 | $8K | |
| 2024incomplete | 3,569 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 95% | 9,400 | 7,712 | $33K |
| 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 | 4.1% | 580 | 437 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 147 | 123 | $353.62 |
| 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% | 20 | 12 | $38.35 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 136 | 94 | $0.00 |
| 3725F | 0% | 60 | 38 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 17 | 12 | $0.00 |
| M1069 | Patient screened for future fall risk | 0% | 15 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 17 | 17 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 15 | 12 | $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 officialSPARLING, PATTI (FAMILY NURSE PRACTITIONER)