Mountain Outreach INC.

Mountain Outreach INC. was paid $7.48M by Medicaid between Nov 2018 and Dec 2024, across 2 billing codes. Its largest line is S5108, Home care training to home care client, per 15 minutes — 99% of everything it billed.

33Billing provider infoMOUNTAIN OUTREACH INC.
MC ROBERTS, KY 41835

33aNPI1538211453assigned 01/18/2007

33bProvider typeAdult Day Care Clinic/Center

28Total paid$7.48M

24GClaims31,135

24DCodes billed2

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Adult Day Care Clinic/Center providers in Kentucky

Rank by total paid#21 of 55

Median peer was paid$2.80M

This provider vs. median2.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code S5108 with only 2 total codes billed. Highly concentrated billing profile.

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	46	$5K
2019	3,200	$420K
2020	4,706	$792K
2021	4,201	$741K
2022	4,989	$1.16M
2023	6,469	$1.94M
2024incomplete	7,524	$2.42M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5108	Home care training to home care client, per 15 minutes	99%	30,300	2,377	$7.42M
S5100	Day care services, adult; per 15 minutes	<1%	835	63	$67K

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 officialHALL, VERNON (EXECUTIVE DIRECTOR)