MTN Lake Urology PC
MTN Lake Urology PC was paid $3K by Medicaid between Jan 2018 and Apr 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoMTN LAKE UROLOGY PC
SCOTTSBORO, AL 35769
SCOTTSBORO, AL 35769
33aNPI1801050364assigned 07/14/2008
33bProvider typeSpecialist
28Total paid$3K
24GClaims1,165
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#118 of 162
Median peer was paid$49K
This provider vs. median0.1×
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 | 668 | $383.62 | |
| 2019 | 180 | $0.00 | |
| 2020 | 91 | $0.00 | |
| 2022 | 44 | $69.00 | |
| 2023 | 137 | $2K | |
| 2024incomplete | 45 | $1K |
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 | 55% | 156 | 131 | $2K |
| 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 | 41% | 43 | 29 | $1K |
| 81003 | 4.0% | 100 | 78 | $138.00 | |
| 1036F | 0% | 64 | 57 | $0.00 | |
| 3017F | 0% | 51 | 42 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 29 | 25 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 141 | 122 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 86 | 79 | $0.00 |
| 1124F | 0% | 48 | 42 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 388 | 322 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 43 | 39 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | 14 | $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 officialGROSS, SHERRY (OFFICE MANAGER)