Physician
Mountain Region Family Medicine PC
Mountain Region Family Medicine PC was paid $22K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.
33Billing provider infoMOUNTAIN REGION FAMILY MEDICINE PC
NICKELSVILLE, VA 24271
NICKELSVILLE, VA 24271
33aNPI1467565804assigned 08/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$22K
24GClaims1,907
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#330 of 772
Median peer was paid$13K
This provider vs. median1.7×
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 | 459 | $4K | |
| 2019 | 595 | $9K | |
| 2020 | 853 | $9K |
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 | 93% | 765 | 567 | $21K |
| 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 | 3.6% | 33 | 16 | $784.15 |
| 36415 | Collection of venous blood by venipuncture | 2.6% | 591 | 432 | $561.81 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 61 | 40 | $104.78 |
| 99490 | Ccm add 20min | <1% | 25 | 24 | $8.92 |
| 1160F | <1% | 200 | 161 | $0.12 | |
| 1159F | <1% | 200 | 161 | $0.12 | |
| 3079F | <1% | 14 | 13 | $0.01 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | 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 officialTRENT, WANDA (CORPORATE SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Mountain Region Family Medicine, PC | Kingsport, TN | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.