Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Blue Mountain Psychiatry, LLC

Blue Mountain Psychiatry, LLC was paid $5K by Medicaid between Jan 2018 and Jan 2024, across 6 billing codes. Its largest line is 90833, Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) — 54% of everything it billed.

33Billing provider infoBLUE MOUNTAIN PSYCHIATRY, LLC
EASTON, PA 18042
33aNPI1679819908assigned 12/13/2012
28Total paid$5K
24GClaims3,185
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#920 of 1,726
Median peer was paid$6K
This provider vs. median0.8×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
20181,080$2K
2019426$1K
2020546$0.00
2021945$466.78
202253$2K
2023119$240.58
2024incomplete16$373.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 54% 1,313 876 $3K
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 32% 276 194 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 768 714 $614.08
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.2% 233 112 $123.24
90785 <1% 341 171 $20.80
99072 0% 254 133 $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 officialRIFAI, MUHAMAD ALY (SOLE PROPRIETOR)