Clinic
Mountain Peoples Health Councils INC
Mountain Peoples Health Councils INC was paid $954K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoMOUNTAIN PEOPLES HEALTH COUNCILS INC
ONEIDA, TN 37841
ONEIDA, TN 37841
33aNPI1871594333assigned 08/09/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$954K
24GClaims52,695
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#17 of 90
Median peer was paid$87K
This provider vs. median11×
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 | 3,537 | $60K | |
| 2019 | 4,712 | $90K | |
| 2020 | 4,730 | $82K | |
| 2021 | 10,673 | $196K | |
| 2022 | 10,284 | $167K | |
| 2023 | 11,976 | $213K | |
| 2024incomplete | 6,783 | $146K |
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 | 36% | 10,422 | 8,317 | $348K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 9,942 | 8,123 | $311K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.5% | 2,998 | 2,492 | $81K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.4% | 4,763 | 3,708 | $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 | 4.2% | 2,612 | 2,166 | $40K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 1,282 | 841 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 4,233 | 1,685 | $30K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 5,644 | 4,679 | $27K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 1,236 | 984 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 297 | 221 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 382 | 305 | $5K |
| 80305 | <1% | 2,392 | 1,955 | $4K |
26 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,134 | $4K |
| 96127 | <1% | 875 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 86 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 625 | $895.34 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 65 | $813.27 |
| 3079F | <1% | 831 | $804.77 | |
| 0011A | <1% | 38 | $638.74 | |
| 0012A | <1% | 29 | $588.08 | |
| 3075F | <1% | 511 | $550.64 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 651 | $363.77 |
| 90756 | <1% | 22 | $338.36 | |
| 81003 | <1% | 375 | $257.05 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 103 | $256.27 |
| 3078F | <1% | 196 | $210.00 | |
| 3074F | <1% | 327 | $210.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 23 | $187.58 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 18 | $155.24 |
| 95117 | <1% | 23 | $137.01 | |
| 90686 | <1% | 79 | $123.86 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 52 | $111.75 |
| 36415 | Collection of venous blood by venipuncture | <1% | 250 | $55.35 |
| 81002 | <1% | 46 | $46.29 | |
| 3077F | <1% | 14 | $40.00 | |
| 91301 | <1% | 83 | $40.00 | |
| 99173 | <1% | 19 | $30.54 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $24.60 |
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 officialLOVETT, JAMES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mountain Peoples Health Councils INC | Robbins, TN | $3.19M |
| Mountain Peoples Health Councils INC. | Huntsville, TN | $1.17M |
| Mountain Peoples Health Councils INC | Winfield, TN | $424K |
| Mountain Peoples Health Councils INC | Huntsville, TN | $412K |
| Mountain Peoples Health Councils INC | Oneida, TN | $206K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.