Clinic
Mountain Comprehensive Care Center, INC.
Mountain Comprehensive Care Center, INC. was paid $12.83M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoMOUNTAIN COMPREHENSIVE CARE CENTER, INC.
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1578811774assigned 08/17/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.83M
24GClaims356,230
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#7 of 37
Median peer was paid$1.29M
This provider vs. median10.0×
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 | 9,621 | $254K | |
| 2019 | 15,179 | $370K | |
| 2020 | 51,221 | $2.30M | |
| 2021 | 67,605 | $2.37M | |
| 2022 | 65,871 | $2.21M | |
| 2023 | 80,975 | $2.73M | |
| 2024incomplete | 65,758 | $2.60M |
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 | 40% | 127,594 | 94,813 | $5.15M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 21,105 | 14,666 | $1.68M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 11% | 33,203 | 18,051 | $1.38M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.1% | 37,709 | 19,867 | $1.04M |
| 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 | 6.3% | 10,889 | 9,894 | $806K |
| 99441 | 4.3% | 13,787 | 5,874 | $548K | |
| 90887 | 1.8% | 3,622 | 1,905 | $226K | |
| 99442 | 1.5% | 3,343 | 1,636 | $196K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 3,121 | 2,412 | $165K |
| 80305 | 1.2% | 16,740 | 9,903 | $157K | |
| H0031 | Mental health assessment, by non-physician | 1.1% | 2,127 | 1,790 | $135K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0% | 1,228 | 1,127 | $132K |
67 more codes
| 76830 | Ultrasound, transvaginal | <1% | 1,774 | $109K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 147 | $105K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,901 | $86K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,123 | $77K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,287 | $74K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 9,870 | $68K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,908 | $66K |
| G0467 | Community health center visit, returning patient | <1% | 9,542 | $64K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,050 | $61K |
| 81025 | <1% | 7,341 | $52K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,524 | $47K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 742 | $34K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 463 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 367 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 387 | $26K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 713 | $26K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 328 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,003 | $23K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 359 | $19K |
| 99443 | <1% | 228 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,744 | $18K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 196 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 886 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 177 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 240 | $11K |
| 59025 | Fetal non-stress test | <1% | 383 | $10K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 951 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 189 | $9K |
| 99408 | <1% | 975 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 207 | $7K |
| 92552 | <1% | 564 | $7K | |
| 99173 | <1% | 125 | $7K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 1,959 | $6K |
| 87807 | <1% | 461 | $5K | |
| 96127 | <1% | 1,003 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $4K |
| 99406 | <1% | 494 | $4K | |
| 81003 | <1% | 7,619 | $3K | |
| 90686 | <1% | 950 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 33 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,146 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 63 | $2K |
| 54160 | <1% | 12 | $1K | |
| 90715 | <1% | 61 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 99383 | <1% | 14 | $966.43 | |
| 82950 | <1% | 159 | $677.96 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $642.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 118 | $613.06 |
| 76857 | <1% | 12 | $517.04 | |
| 87428 | <1% | 13 | $455.43 | |
| 90658 | <1% | 42 | $361.76 | |
| 90651 | <1% | 52 | $253.60 | |
| 86580 | <1% | 51 | $182.46 | |
| 90716 | <1% | 12 | $150.98 | |
| 90688 | <1% | 19 | $134.20 | |
| 82951 | <1% | 13 | $131.90 | |
| 90734 | <1% | 86 | $117.41 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 35 | $94.62 |
| 90707 | <1% | 12 | $87.31 | |
| 36416 | <1% | 12 | $37.60 | |
| 2014F | 0% | 1,316 | $0.00 | |
| 90670 | 0% | 28 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| 3008F | 0% | 2,042 | $0.00 | |
| 90656 | 0% | 114 | $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 officialBISHNOI, PROMOD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mountain Comprehensive Care Center, INC. | Prestonsburg, KY | $243.11M |
| Mountain Comprehensive Care Center | Prestonsburg, KY | $65.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.