Grace Mountain Medical, LLC

Grace Mountain Medical, LLC was paid $32K by Medicaid between Jun 2021 and Feb 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoGRACE MOUNTAIN MEDICAL, LLC
PIKEVILLE, KY 41501

33aNPI1821645896assigned 08/23/2019

33bProvider typeUrgent Care Clinic/Center

28Total paid$32K

24GClaims1,255

24DCodes billed6

24AFirst – last monthJun 2021 – Feb 2023

Compared with peers

Next to other Urgent Care Clinic/Center providers in Kentucky

Rank by total paid#11 of 13

Median peer was paid$254K

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
2021	15	$0.00
2022	1,006	$24K
2023	234	$8K

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	63%	550	502	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	399	341	$10K
80305		2.4%	128	98	$786.39
99406		2.0%	135	100	$658.06
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.3%	29	28	$423.03
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	14	13	$6.32

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 officialSHEPHERD HATFIELD, TONYA (CO-OWNER)