Physician
Premier Mountain Healthcare LLC
Premier Mountain Healthcare LLC was paid $391K by Medicaid between Oct 2021 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoPREMIER MOUNTAIN HEALTHCARE LLC
SHOW LOW, AZ 85901
SHOW LOW, AZ 85901
33aNPI1881261857assigned 06/08/2021
33bProvider typeAdult Medicine Physician
28Total paid$391K
24GClaims11,932
24DCodes billed12
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in Arizona
Rank by total paid#4 of 16
Median peer was paid$135K
This provider vs. median2.9×
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 | 195 | $10K | |
| 2022 | 2,076 | $107K | |
| 2023 | 5,128 | $155K | |
| 2024incomplete | 4,533 | $119K |
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 | 71% | 4,890 | 4,564 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,199 | 2,073 | $101K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 104 | 102 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 68 | 68 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | 17 | $253.60 |
| 82962 | <1% | 12 | 12 | $16.22 | |
| 3078F | 0% | 531 | 490 | $0.00 | |
| 1160F | 0% | 1,168 | 1,048 | $0.00 | |
| 3008F | 0% | 1,751 | 1,580 | $0.00 | |
| 3074F | 0% | 700 | 645 | $0.00 | |
| 1036F | 0% | 465 | 412 | $0.00 | |
| 3079F | 0% | 27 | 26 | $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 officialJOHNSON, BECKY (PRACTICE ADMINISTRAITOR)