Physician
Mountain Family Practice Clinic of Manchester INC
Mountain Family Practice Clinic of Manchester INC was paid $4.61M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1689919078assigned 12/11/2012
33bProvider typeFamily Medicine Physician
28Total paid$4.61M
24GClaims174,968
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#16 of 352
Median peer was paid$90K
This provider vs. median51×
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 | 7,164 | $179K | |
| 2019 | 12,137 | $337K | |
| 2020 | 18,401 | $551K | |
| 2021 | 28,310 | $827K | |
| 2022 | 33,236 | $833K | |
| 2023 | 38,137 | $943K | |
| 2024incomplete | 37,583 | $940K |
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 | 47% | 73,253 | 42,301 | $2.18M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 30% | 34,283 | 15,341 | $1.38M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 21,859 | 13,106 | $486K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 13,660 | 11,029 | $164K |
| H0038 | Self-help/peer services, per 15 minutes | 3.4% | 15,873 | 6,266 | $158K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.3% | 1,738 | 1,285 | $58K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,265 | 2,015 | $35K |
| 87428 | <1% | 492 | 438 | $25K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,041 | 963 | $21K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 258 | 246 | $20K |
| 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 | <1% | 425 | 389 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,062 | 955 | $17K |
16 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 347 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 473 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 228 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,355 | $5K |
| 90674 | <1% | 93 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | $844.15 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 52 | $640.18 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 37 | $516.91 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 178 | $473.94 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $367.81 |
| 90756 | <1% | 19 | $182.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 112 | $167.45 |
| 82570 | <1% | 1,728 | $150.06 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 13 | $45.48 |
| 81003 | <1% | 29 | $10.50 | |
| 91301 | <1% | 12 | $0.04 |
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 officialCOX, KIM (OWNER/OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| Family Practice Clinic of Booneville, INC. | Booneville, KY | $4.99M |
| Lancaster Family Health Care | Lancaster, KY | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.