Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › WHITESBURG › MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

NPI: 1902980865 · WHITESBURG, KY 41858 · Federally Qualified Health Center (FQHC) · NPI assigned 10/25/2006

$62.46M
Total Medicaid Paid
3,197,641
Total Claims
2,519,101
Beneficiaries
289
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAUDILL, L.M. (MIKE) (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: CAUDILL, L.M. (MIKE)

ProviderCityStateTotal Paid
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION WHITESBURG KY $1.75M
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION WHITESBURG KY $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 242,415 $5.43M
2019 300,738 $6.87M
2020 322,515 $7.84M
2021 393,248 $9.90M
2022 409,245 $10.83M
2023 764,718 $11.86M
2024 764,762 $9.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 348,892 273,974 $16.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 362,006 294,564 $12.04M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 40,052 36,550 $4.32M
T2023 Targeted case management; per month 8,021 6,741 $2.44M
90832 Psychotherapy, 30 minutes with patient 61,443 38,262 $2.29M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69,588 57,915 $1.77M
G0467 Federally 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 175,961 56,361 $1.34M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 46,278 16,564 $1.23M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18,162 16,750 $1.08M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 11,361 10,613 $959K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 69,836 64,112 $958K
80050 General health panel 24,806 22,144 $874K
87428 16,255 14,553 $857K
80305 72,780 47,046 $741K
D7140 Extraction, erupted tooth or exposed root 13,706 6,955 $593K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,283 2,086 $517K
80061 Lipid panel 51,417 46,977 $484K
99232 Subsequent hospital care, per day, moderate complexity 17,963 5,959 $445K
82607 41,092 37,440 $439K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,005 6,135 $423K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,263 5,839 $417K
80053 Comprehensive metabolic panel 51,899 47,140 $385K
V2020 Frames, purchases 12,824 12,040 $374K
J0696 Injection, ceftriaxone sodium, per 250 mg 25,472 21,794 $351K
D0330 Panoramic radiographic image 8,451 8,103 $345K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14,989 11,797 $345K
84443 Thyroid stimulating hormone (TSH) 26,663 24,653 $305K
76830 Ultrasound, transvaginal 8,855 4,573 $288K
90792 Psychiatric diagnostic evaluation with medical services 3,836 3,453 $282K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,194 3,974 $279K
83036 Hemoglobin; glycosylated (A1C) 43,721 39,916 $279K
99490 Ccm add 20min 10,265 9,837 $274K
99222 Initial hospital care, per day, moderate complexity 6,289 5,175 $264K
36415 Collection of venous blood by venipuncture 119,059 98,132 $262K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,549 3,306 $250K
D1110 Prophylaxis - adult 6,509 6,218 $249K
D0150 Comprehensive oral evaluation - new or established patient 8,938 8,606 $248K
92340 Fitting of spectacles, except for aphakia; monofocal 7,487 7,207 $247K
D0140 Limited oral evaluation - problem focused 7,155 6,701 $220K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 3,970 3,500 $215K
90834 Psychotherapy, 45 minutes with patient 4,187 3,332 $214K
90837 Psychotherapy, 53 minutes with patient 2,599 1,811 $202K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,211 34,125 $201K
J0561 Injection, penicillin g benzathine, 100,000 units 1,250 1,182 $190K
99307 1,696 1,038 $178K
99238 Hospital discharge day management, 30 minutes or less 4,752 4,018 $162K
84439 23,695 21,628 $153K
85027 29,692 27,003 $152K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 193 171 $140K
H0031 Mental health assessment, by non-physician 2,376 2,124 $136K
H0032 Mental health service plan development by non-physician 2,329 2,124 $135K
D0272 Bitewings - two radiographic images 7,865 7,534 $123K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,247 2,118 $122K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 9,508 7,211 $120K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,723 5,723 $115K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 11,725 6,557 $113K
D1120 Prophylaxis - child 2,631 2,535 $113K
83735 24,338 21,869 $112K
D9110 4,370 4,129 $110K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,071 1,560 $105K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,653 1,534 $102K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,517 2,335 $102K
D0220 Intraoral - periapical first radiographic image 9,828 9,281 $99K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,355 5,042 $98K
D0120 Periodic oral evaluation - established patient 4,523 4,324 $92K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,245 1,577 $92K
90670 1,094 1,050 $91K
82746 8,422 7,724 $90K
V2784 Lens, polycarbonate or equal, any index, per lens 15,491 7,289 $81K
84481 6,340 5,823 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,391 1,289 $79K
84480 7,660 6,976 $79K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,904 1,137 $78K
83550 11,535 10,507 $74K
80048 Basic metabolic panel (calcium, ionized) 12,199 10,910 $71K
87581 2,355 2,142 $66K
87486 2,355 2,141 $66K
0012A 2,058 1,852 $65K
81025 8,437 7,672 $63K
90686 4,321 4,054 $63K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,336 2,128 $62K
99215 Prolong outpt/office vis 854 653 $61K
83540 12,234 11,157 $58K
0011A 2,536 2,004 $58K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 708 646 $56K
J1885 Injection, ketorolac tromethamine, per 15 mg 25,513 21,214 $56K
J1040 Injection, methylprednisolone acetate, 80 mg 6,242 5,384 $56K
92341 1,571 1,496 $54K
77067 Screening mammography, bilateral, including computer-aided detection 1,069 998 $53K
82043 13,195 12,133 $53K
80076 8,459 7,721 $48K
71046 Radiologic examination, chest; 2 views 4,514 4,012 $47K
99308 Subsequent nursing facility care, per day, straightforward 696 509 $46K
93000 2,790 2,484 $46K
T1015 Clinic visit/encounter, all-inclusive 2,260 1,781 $44K
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 5,050 4,865 $40K
84703 5,668 5,199 $38K
82550 8,590 7,711 $38K
92250 1,023 960 $38K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,729 1,068 $37K
V2781 Progressive lens, per lens 2,440 1,126 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,023 1,829 $36K
73630 2,093 1,818 $34K
92015 Determination of refractive state 18,315 16,774 $32K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,072 2,019 $29K
74021 1,617 1,386 $28K
90723 737 709 $27K
D1206 Topical application of fluoride varnish 1,942 1,895 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,982 1,471 $25K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 3,249 2,739 $23K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24,901 21,439 $22K
98940 1,233 841 $20K
77063 Screening digital breast tomosynthesis, bilateral 1,080 997 $20K
D5110 36 33 $20K
86677 1,931 1,721 $20K
98926 756 564 $20K
84702 1,539 1,187 $19K
D0274 Bitewings - four radiographic images 710 690 $19K
0001A 555 514 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 456 426 $18K
81000 19,951 17,897 $18K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,252 701 $18K
Q3014 Telehealth originating site facility fee 6,319 5,102 $17K
D5120 32 29 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 568 503 $16K
0064A 571 422 $15K
90633 1,171 1,080 $15K
82150 3,179 2,898 $14K
0031A 512 423 $14K
83690 2,880 2,624 $14K
0002A 405 381 $14K
D1208 Topical application of fluoride, excluding varnish 1,020 980 $14K
86430 3,043 2,782 $13K
99219 297 260 $13K
84153 1,096 980 $13K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 1,104 484 $12K
72110 692 640 $12K
84550 3,713 3,389 $11K
29540 620 512 $11K
99460 276 259 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 977 896 $11K
J1030 Injection, methylprednisolone acetate, 40 mg 2,134 1,932 $10K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 7,434 5,954 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,867 1,647 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 95 93 $10K
90651 219 199 $10K
99417 Prolong home eval add 15m 177 65 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 183 134 $9K
59514 15 12 $9K
87420 649 599 $8K
90648 632 615 $8K
99239 Hospital discharge day management, more than 30 minutes 118 115 $8K
88142 486 447 $8K
11721 409 360 $7K
99233 Prolong inpt eval add15 m 207 42 $7K
85651 2,325 2,135 $7K
49320 28 25 $7K
93040 658 588 $6K
99223 Prolong inpt eval add15 m 91 76 $6K
0013A 189 171 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 9,823 2,443 $5K
90791 Psychiatric diagnostic evaluation 98 75 $5K
D2335 66 51 $5K
73610 369 334 $5K
82951 432 394 $5K
90716 101 99 $5K
90715 197 186 $5K
72052 208 191 $5K
11730 137 127 $4K
81001 6,268 5,768 $4K
85652 2,186 1,987 $4K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,189 1,031 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 118 115 $4K
93041 1,456 1,335 $4K
99217 102 89 $4K
95250 190 175 $4K
0134A 159 120 $4K
99201 82 81 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 427 303 $4K
90688 289 283 $4K
V2783 Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens 390 186 $3K
54150 51 50 $3K
99318 44 31 $3K
94010 175 164 $3K
91322 29 29 $3K
90734 117 96 $3K
90656 167 165 $3K
V2750 Anti-reflective coating, per lens 228 112 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 387 347 $3K
90707 106 101 $3K
99462 118 63 $3K
0003A 84 78 $3K
99225 103 56 $3K
90647 288 279 $3K
97014 629 420 $2K
97124 1,436 967 $2K
92083 61 56 $2K
D2331 47 37 $2K
76981 52 50 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 619 584 $2K
D0230 Intraoral - periapical each additional radiographic image 457 336 $2K
82947 581 549 $2K
D1351 Sealant - per tooth 174 39 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 399 367 $2K
72070 143 133 $2K
0071A 57 51 $2K
H0001 Alcohol and/or drug assessment 47 44 $2K
90632 37 36 $2K
90685 126 123 $2K
85610 441 399 $2K
59025 Fetal non-stress test 90 55 $2K
0004A 59 46 $2K
81003 5,231 3,594 $2K
84436 1,704 1,599 $2K
99173 113 113 $1K
92310 301 260 $1K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 326 199 $1K
90620 13 12 $1K
98943 86 62 $1K
0072A 33 33 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 76 74 $1K
3079F 58,896 50,658 $1K
D2330 31 24 $1K
76819 Fetal biophysical profile; without non-stress testing 40 14 $1K
86703 118 109 $1K
3008F 200,674 159,319 $1K
3078F 106,220 88,652 $1K
2001F 200,147 159,254 $1K
3074F 119,645 98,957 $1K
92551 120 120 $1K
11720 181 161 $1K
86413 38 36 $1K
3077F 28,662 24,375 $1K
20610 27 25 $981.60
76376 111 68 $882.40
0124A 37 22 $800.00
81002 1,067 923 $758.91
31624 14 12 $749.48
J1010 Injection, methylprednisolone acetate, 1 mg 593 547 $669.86
87210 124 118 $578.10
85014 286 272 $562.60
85018 286 272 $561.38
74019 45 41 $544.86
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $461.76
3075F 28,879 25,750 $449.32
0054A 12 12 $443.63
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 18 12 $441.80
90480 13 13 $440.00
92133 15 15 $434.40
99381 13 13 $432.22
99221 16 13 $393.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 268 63 $354.19
87081 71 62 $353.54
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 41 26 $350.00
87070 53 52 $344.80
86580 67 55 $336.98
69210 16 15 $334.31
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 1,140 450 $332.88
3044F 5,851 5,069 $302.03
D0270 43 39 $281.21
97535 Self-care/home management training, each 15 minutes 113 106 $273.98
90461 83 75 $254.80
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 78 67 $241.96
72120 14 12 $204.62
99231 Subsequent hospital care, per day, straightforward or low complexity 28 26 $204.07
3080F 11,447 9,990 $203.01
87280 14 14 $167.76
J2919 Injection, methylprednisolone sodium succinate, 5 mg 95 89 $159.87
73650 13 13 $159.62
J2405 Injection, ondansetron hydrochloride, per 1 mg 317 245 $146.05
36416 133 125 $136.61
84484 23 12 $124.70
74018 19 12 $100.49
99000 857 699 $63.84
76982 26 26 $48.81
3051F 584 458 $47.71
J2550 Injection, promethazine hcl, up to 50 mg 15 12 $41.87
3052F 549 438 $22.58
D0210 Intraoral - complete series of radiographic images 14 12 $15.05
3046F 930 742 $14.59
J3490 Unclassified drugs 37 25 $7.32
1111F 4,927 4,069 $6.65
D0603 46 40 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 30 13 $0.00
99441 14 13 $0.00
S0013 Esketamine, nasal spray, 1 mg 33 14 $0.00
90472 Immunization administration, each additional vaccine (list separately) 24 23 $0.00
90687 13 13 $0.00
99051 18 18 $0.00