Physician
East Mountain Health Clinic LLC
East Mountain Health Clinic LLC was paid $302K by Medicaid between Feb 2020 and Feb 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoEAST MOUNTAIN HEALTH CLINIC LLC
INEZ, KY 41224
INEZ, KY 41224
33aNPI1578102760assigned 01/05/2020
33bProvider typeFamily Medicine Physician
28Total paid$302K
24GClaims10,210
24DCodes billed12
24AFirst – last monthFeb 2020 – Feb 2023
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#121 of 352
Median peer was paid$90K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 2,510 | $66K | |
| 2021 | 3,355 | $102K | |
| 2022 | 3,960 | $119K | |
| 2023 | 385 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 3,533 | 2,829 | $142K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 4,258 | 3,364 | $134K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 213 | 199 | $12K |
| Q3014 | Telehealth originating site facility fee | 1.2% | 251 | 190 | $4K |
| 99443 | <1% | 265 | 203 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,369 | 1,186 | $2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 36 | 26 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 46 | 40 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 105 | 67 | $1K |
| 99442 | <1% | 102 | 76 | $857.29 | |
| 90756 | <1% | 16 | 14 | $258.06 | |
| 99407 | <1% | 16 | 13 | $229.54 |
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 officialSIEGEL, SCOTT (DO, OWNER)
| Provider | Location | Paid |
|---|---|---|
| Anne K. Hempstead D.D.S., P.C. | Albuquerque, NM | $3.02M |
| Siegel Chiropractic Clinic | Woodhaven, MI | $453K |
| Kean DC PC | Washington, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.