NP / PA
High Country Community Health
High Country Community Health was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoHIGH COUNTRY COMMUNITY HEALTH
BOONE, NC 28607
BOONE, NC 28607
33aNPI1750646741assigned 07/06/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$2.86M
24GClaims64,681
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in North Carolina
Rank by total paid#4 of 147
Median peer was paid$12K
This provider vs. median248×
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 | 3,948 | $262K | |
| 2019 | 5,318 | $388K | |
| 2020 | 3,558 | $343K | |
| 2021 | 8,074 | $524K | |
| 2022 | 13,348 | $427K | |
| 2023 | 9,911 | $270K | |
| 2024incomplete | 20,524 | $649K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 16,444 | 11,730 | $2.43M |
| 99199 | Unlisted special service, procedure or report | 5.8% | 30,427 | 20,668 | $166K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 2,013 | 1,854 | $48K |
| D1110 | Prophylaxis - adult | 1.5% | 1,213 | 1,125 | $42K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit | 1.3% | 1,916 | 1,544 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,088 | 955 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 643 | 592 | $22K |
| 80305 | <1% | 1,925 | 1,255 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,058 | 944 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 883 | 809 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 229 | 206 | $9K |
| 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% | 780 | 676 | $7K |
23 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 83 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 443 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 203 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 297 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 165 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 54 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 165 | $2K |
| D0330 | Panoramic radiographic image | <1% | 12 | $560.20 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,274 | $505.86 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $289.17 |
| 96127 | <1% | 122 | $197.42 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 425 | $60.23 |
| 99490 | Ccm add 20min | <1% | 29 | $30.96 |
| 3074F | <1% | 1,295 | $1.77 | |
| 3078F | <1% | 820 | $1.03 | |
| 3079F | <1% | 421 | $0.73 | |
| 3075F | <1% | 73 | $0.08 | |
| 3077F | <1% | 13 | $0.02 | |
| 3080F | <1% | 34 | $0.02 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 23 | $0.00 |
| D1330 | 0% | 31 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 22 | $0.00 |
| 91301 | 0% | 36 | $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 officialSALTHOUSE, ALICE (CHIEF EXECUTIVE OFFICER)
Parent organizationHIGH COUNTRY COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| High Country Community Health | Elkin, NC | $6.61M |
| High Country Community Health | Morganton, NC | $3.13M |
| High Country Community Health | Newland, NC | $2.11M |
| High Country Community Health | Connelly Springs, NC | $1.42M |
| High Country Community Health | Boone, NC | $988K |
| High Country Community Health | Boone, NC | $70K |
| High Country Community Health | Newland, NC | $33K |
| High Country Community Health | Morganton, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.