Clinic
Mountain After Hours Clinic PSC
Mountain After Hours Clinic PSC was paid $4.88M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMOUNTAIN AFTER HOURS CLINIC PSC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1477638880assigned 10/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.88M
24GClaims146,482
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#8 of 265
Median peer was paid$400K
This provider vs. median12×
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 | 22,951 | $512K | |
| 2019 | 21,648 | $503K | |
| 2020 | 17,668 | $546K | |
| 2021 | 14,781 | $401K | |
| 2022 | 19,652 | $708K | |
| 2023 | 22,627 | $975K | |
| 2024incomplete | 27,155 | $1.23M |
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 | 50% | 55,732 | 47,078 | $2.43M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.3% | 9,490 | 3,619 | $355K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 9,725 | 5,363 | $279K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 5,262 | 3,241 | $253K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.1% | 6,057 | 896 | $198K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 4,649 | 2,662 | $171K |
| 80305 | 3.0% | 20,822 | 13,065 | $145K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 1,757 | 1,678 | $121K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 2,343 | 2,210 | $116K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 1,779 | 608 | $86K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 3,367 | 2,997 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 3,973 | 2,092 | $62K |
49 more codes
| 90837 | Psychotherapy session, about an hour | 1.2% | 891 | $61K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,116 | $54K |
| 99349 | 1.0% | 514 | $50K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.0% | 2,290 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,058 | $42K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 752 | $38K |
| 99347 | <1% | 319 | $37K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 368 | $36K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 668 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 698 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 265 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,554 | $22K |
| 99335 | <1% | 118 | $18K | |
| 99348 | <1% | 457 | $12K | |
| 99219 | <1% | 193 | $10K | |
| 85027 | <1% | 1,539 | $10K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 286 | $9K |
| 99342 | <1% | 295 | $8K | |
| 85651 | <1% | 1,709 | $6K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 61 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 149 | $4K |
| 99344 | <1% | 92 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 797 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 260 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 54 | $2K |
| 99334 | <1% | 20 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 99225 | <1% | 45 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 42 | $2K |
| 90836 | <1% | 103 | $2K | |
| 86580 | <1% | 253 | $2K | |
| 90688 | <1% | 173 | $2K | |
| 90674 | <1% | 67 | $1K | |
| 93000 | <1% | 82 | $1K | |
| 99221 | <1% | 26 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 216 | $1K |
| 87280 | <1% | 59 | $599.61 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 27 | $568.92 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 52 | $547.45 |
| 99173 | <1% | 21 | $315.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 836 | $303.60 |
| 92551 | <1% | 15 | $183.60 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 786 | $180.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $134.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19 | $114.09 |
| 81025 | <1% | 15 | $89.55 | |
| 90633 | <1% | 35 | $27.16 | |
| 81002 | <1% | 27 | $13.92 | |
| 90686 | 0% | 49 | $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 officialYONTS, ANTHONY (CO-OWNER)