Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN HEALTH CLINIC, LLC

NPI: 1679966162 · MORRISTOWN, TN 37814 · Primary Care Clinic/Center · NPI assigned 03/09/2015

$54K
Total Medicaid Paid
3,870
Total Claims
2,904
Beneficiaries
14
Codes Billed
2020-12
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSETSER, KIMBERLY (FAMILY NURSE PRACTITIONER/OWNER)
NPI Enumeration Date03/09/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $1K
2021 1,923 $26K
2022 1,563 $22K
2023 344 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,368 915 $37K
99490 Ccm add 20min 870 755 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 89 $3K
99491 Ccm add 20min 120 90 $2K
99439 86 69 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 35 30 $868.98
36415 Collection of venous blood by venipuncture 374 302 $364.37
1159F 423 307 $0.00
3078F 14 12 $0.00
1160F 20 14 $0.00
3008F 396 279 $0.00
1125F 17 13 $0.00
1034F 13 12 $0.00
1030F 18 17 $0.00