Clinic
Mountain Health Clinic, LLC
Mountain Health Clinic, LLC was paid $54K by Medicaid between Dec 2020 and Jul 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoMOUNTAIN HEALTH CLINIC, LLC
MORRISTOWN, TN 37814
MORRISTOWN, TN 37814
33aNPI1679966162assigned 03/09/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$54K
24GClaims3,870
24DCodes billed14
24AFirst – last monthDec 2020 – Jul 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#87 of 139
Median peer was paid$101K
This provider vs. median0.5×
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 | 40 | $1K | |
| 2021 | 1,923 | $26K | |
| 2022 | 1,563 | $22K | |
| 2023 | 344 | $5K |
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 | 68% | 1,368 | 915 | $37K |
| 99490 | Ccm add 20min | 18% | 870 | 755 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 116 | 89 | $3K |
| 99491 | Ccm add 20min | 4.0% | 120 | 90 | $2K |
| 99439 | 2.2% | 86 | 69 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 35 | 30 | $868.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 374 | 302 | $364.37 |
| 1159F | 0% | 423 | 307 | $0.00 | |
| 3078F | 0% | 14 | 12 | $0.00 | |
| 1160F | 0% | 20 | 14 | $0.00 | |
| 3008F | 0% | 396 | 279 | $0.00 | |
| 1125F | 0% | 17 | 13 | $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 officialSETSER, KIMBERLY (FAMILY NURSE PRACTITIONER/OWNER)