Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mountain Comprehensive Health Corporation

Mountain Comprehensive Health Corporation was paid $62.46M by Medicaid between Jan 2018 and Dec 2024, across 289 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoMOUNTAIN COMPREHENSIVE HEALTH CORPORATION
WHITESBURG, KY 41858
33aNPI1902980865assigned 10/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$62.46M
24GClaims3,197,641
24DCodes billed289
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Kentucky

Rank by total paid#2 of 37
Median peer was paid$1.29M
This provider vs. median48×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018242,415$5.43M
2019300,738$6.87M
2020322,515$7.84M
2021393,248$9.90M
2022409,245$10.83M
2023764,718$11.86M
2024incomplete764,762$9.72M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 348,892 273,974 $16.11M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 362,006 294,564 $12.04M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6.9% 40,052 36,550 $4.32M
T2023 Targeted case management; per month 3.9% 8,021 6,741 $2.44M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.7% 61,443 38,262 $2.29M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 69,588 57,915 $1.77M
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 2.1% 175,961 56,361 $1.34M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2.0% 46,278 16,564 $1.23M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.7% 18,162 16,750 $1.08M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 11,361 10,613 $959K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 69,836 64,112 $958K
80050 General health panel 1.4% 24,806 22,144 $874K
277 more codes
87428 1.4% 16,255 $857K
80305 1.2% 72,780 $741K
D7140 Extraction, erupted tooth or exposed root <1% 13,706 $593K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 2,283 $517K
80061 Lipid panel <1% 51,417 $484K
99232 Hospital visit by a doctor, follow-up day <1% 17,963 $445K
82607 <1% 41,092 $439K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 7,005 $423K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 6,263 $417K
80053 Comprehensive metabolic panel <1% 51,899 $385K
V2020 Frames, purchases <1% 12,824 $374K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 25,472 $351K
D0330 Panoramic radiographic image <1% 8,451 $345K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 14,989 $345K
84443 Thyroid stimulating hormone (TSH) <1% 26,663 $305K
76830 Ultrasound, transvaginal <1% 8,855 $288K
90792 Psychiatric diagnostic evaluation with medical services <1% 3,836 $282K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,194 $279K
83036 Hemoglobin; glycosylated (A1C) <1% 43,721 $279K
99490 Ccm add 20min <1% 10,265 $274K
99222 Initial hospital care, per day, moderate complexity <1% 6,289 $264K
36415 Collection of venous blood by venipuncture <1% 119,059 $262K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 8,549 $250K
D1110 Prophylaxis - adult <1% 6,509 $249K
D0150 Comprehensive oral evaluation - new or established patient <1% 8,938 $248K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 7,487 $247K
D0140 Limited oral evaluation - problem focused <1% 7,155 $220K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 3,970 $215K
90834 Psychotherapy session, about 45 minutes <1% 4,187 $214K
90837 Psychotherapy session, about an hour <1% 2,599 $202K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 38,211 $201K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 1,250 $190K
99307 <1% 1,696 $178K
99238 Hospital discharge day management, 30 minutes or less <1% 4,752 $162K
84439 <1% 23,695 $153K
85027 <1% 29,692 $152K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 193 $140K
H0031 Mental health assessment, by non-physician <1% 2,376 $136K
H0032 Mental health service plan development by non-physician <1% 2,329 $135K
D0272 Bitewings - two radiographic images <1% 7,865 $123K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,247 $122K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 9,508 $120K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 6,723 $115K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 11,725 $113K
D1120 Dental cleaning, child <1% 2,631 $113K
83735 <1% 24,338 $112K
D9110 <1% 4,370 $110K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 2,071 $105K
99203 Doctor's office visit, new patient (routine) <1% 1,653 $102K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,517 $102K
D0220 Intraoral - periapical first radiographic image <1% 9,828 $99K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,355 $98K
D0120 Dental checkup, returning patient <1% 4,523 $92K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 2,245 $92K
90670 <1% 1,094 $91K
82746 <1% 8,422 $90K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 15,491 $81K
84481 <1% 6,340 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,391 $79K
84480 <1% 7,660 $79K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,904 $78K
83550 <1% 11,535 $74K
80048 Basic metabolic panel (calcium, ionized) <1% 12,199 $71K
87581 <1% 2,355 $66K
87486 <1% 2,355 $66K
0012A <1% 2,058 $65K
81025 <1% 8,437 $63K
90686 <1% 4,321 $63K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 2,336 $62K
99215 Doctor's office visit, returning patient (complex) <1% 854 $61K
83540 <1% 12,234 $58K
0011A <1% 2,536 $58K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 708 $56K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 25,513 $56K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 6,242 $56K
92341 <1% 1,571 $54K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,069 $53K
82043 <1% 13,195 $53K
80076 <1% 8,459 $48K
71046 Radiologic examination, chest; 2 views <1% 4,514 $47K
99308 Subsequent nursing facility care, per day, straightforward <1% 696 $46K
93000 <1% 2,790 $46K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 2,260 $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 <1% 5,050 $40K
84703 <1% 5,668 $38K
82550 <1% 8,590 $38K
92250 <1% 1,023 $38K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 1,729 $37K
V2781 Progressive lens, per lens <1% 2,440 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,023 $36K
73630 <1% 2,093 $34K
92015 Determination of refractive state <1% 18,315 $32K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 3,072 $29K
74021 <1% 1,617 $28K
90723 <1% 737 $27K
D1206 Topical application of fluoride varnish <1% 1,942 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,982 $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 <1% 3,249 $23K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 24,901 $22K
98940 <1% 1,233 $20K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,080 $20K
D5110 <1% 36 $20K
86677 <1% 1,931 $20K
98926 <1% 756 $20K
84702 <1% 1,539 $19K
D0274 Bitewings - four radiographic images <1% 710 $19K
0001A <1% 555 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 456 $18K
81000 <1% 19,951 $18K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 1,252 $18K
Q3014 Telehealth originating site facility fee <1% 6,319 $17K
D5120 <1% 32 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 568 $16K
0064A <1% 571 $15K
90633 <1% 1,171 $15K
82150 <1% 3,179 $14K
0031A <1% 512 $14K
83690 <1% 2,880 $14K
0002A <1% 405 $14K
D1208 Topical application of fluoride, excluding varnish <1% 1,020 $14K
86430 <1% 3,043 $13K
99219 <1% 297 $13K
84153 <1% 1,096 $13K
G0466 Community health center visit, new patient <1% 1,104 $12K
72110 <1% 692 $12K
84550 <1% 3,713 $11K
29540 <1% 620 $11K
99460 <1% 276 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 977 $11K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,134 $10K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 7,434 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,867 $10K
99204 Doctor's office visit, new patient (more involved) <1% 95 $10K
90651 <1% 219 $10K
99417 Prolong home eval add 15m <1% 177 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 183 $9K
59514 <1% 15 $9K
87420 <1% 649 $8K
90648 <1% 632 $8K
99239 Hospital discharge day management, more than 30 minutes <1% 118 $8K
88142 <1% 486 $8K
11721 <1% 409 $7K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 207 $7K
85651 <1% 2,325 $7K
49320 <1% 28 $7K
93040 <1% 658 $6K
99223 Prolong inpt eval add15 m <1% 91 $6K
0013A <1% 189 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 9,823 $5K
90791 Psychiatric diagnostic evaluation <1% 98 $5K
D2335 <1% 66 $5K
73610 <1% 369 $5K
82951 <1% 432 $5K
90716 <1% 101 $5K
90715 <1% 197 $5K
72052 <1% 208 $5K
11730 <1% 137 $4K
81001 <1% 6,268 $4K
85652 <1% 2,186 $4K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 1,189 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 118 $4K
93041 <1% 1,456 $4K
99217 <1% 102 $4K
95250 <1% 190 $4K
0134A <1% 159 $4K
99201 <1% 82 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 427 $4K
90688 <1% 289 $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 <1% 390 $3K
54150 <1% 51 $3K
99318 <1% 44 $3K
94010 <1% 175 $3K
91322 <1% 29 $3K
90734 <1% 117 $3K
90656 <1% 167 $3K
V2750 Anti-reflective coating, per lens <1% 228 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 387 $3K
90707 <1% 106 $3K
99462 <1% 118 $3K
0003A <1% 84 $3K
99225 <1% 103 $3K
90647 <1% 288 $3K
97014 <1% 629 $2K
97124 <1% 1,436 $2K
92083 <1% 61 $2K
D2331 <1% 47 $2K
76981 <1% 52 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 619 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 457 $2K
82947 <1% 581 $2K
D1351 Sealant - per tooth <1% 174 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 399 $2K
72070 <1% 143 $2K
0071A <1% 57 $2K
H0001 Alcohol and/or drug assessment <1% 47 $2K
90632 <1% 37 $2K
90685 <1% 126 $2K
85610 <1% 441 $2K
59025 Fetal non-stress test <1% 90 $2K
0004A <1% 59 $2K
81003 <1% 5,231 $2K
84436 <1% 1,704 $2K
99173 <1% 113 $1K
92310 <1% 301 $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 <1% 326 $1K
90620 <1% 13 $1K
98943 <1% 86 $1K
0072A <1% 33 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 76 $1K
3079F <1% 58,896 $1K
D2330 <1% 31 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 40 $1K
86703 <1% 118 $1K
3008F <1% 200,674 $1K
3078F <1% 106,220 $1K
2001F <1% 200,147 $1K
3074F <1% 119,645 $1K
92551 <1% 120 $1K
11720 <1% 181 $1K
86413 <1% 38 $1K
3077F <1% 28,662 $1K
20610 <1% 27 $981.60
76376 <1% 111 $882.40
0124A <1% 37 $800.00
81002 <1% 1,067 $758.91
31624 <1% 14 $749.48
J1010 Injection, methylprednisolone acetate, 1 mg <1% 593 $669.86
87210 <1% 124 $578.10
85014 <1% 286 $562.60
85018 <1% 286 $561.38
74019 <1% 45 $544.86
90460 Immunization administration through 18 years of age via any route, first or only component <1% 13 $461.76
3075F <1% 28,879 $449.32
0054A <1% 12 $443.63
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 18 $441.80
90480 <1% 13 $440.00
92133 <1% 15 $434.40
99381 <1% 13 $432.22
99221 <1% 16 $393.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 268 $354.19
87081 <1% 71 $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 <1% 41 $350.00
87070 <1% 53 $344.80
86580 <1% 67 $336.98
69210 <1% 16 $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% 1,140 $332.88
3044F <1% 5,851 $302.03
D0270 <1% 43 $281.21
97535 Self-care/home management training, each 15 minutes <1% 113 $273.98
90461 <1% 83 $254.80
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 78 $241.96
72120 <1% 14 $204.62
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 28 $204.07
3080F <1% 11,447 $203.01
87280 <1% 14 $167.76
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 95 $159.87
73650 <1% 13 $159.62
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 317 $146.05
36416 <1% 133 $136.61
84484 <1% 23 $124.70
74018 <1% 19 $100.49
99000 <1% 857 $63.84
76982 <1% 26 $48.81
3051F <1% 584 $47.71
J2550 Injection, promethazine hcl, up to 50 mg <1% 15 $41.87
3052F <1% 549 $22.58
D0210 Intraoral - complete series of radiographic images <1% 14 $15.05
3046F <1% 930 $14.59
J3490 Unclassified drugs <1% 37 $7.32
1111F <1% 4,927 $6.65
D0603 0% 46 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 0% 30 $0.00
99441 0% 14 $0.00
S0013 Esketamine, nasal spray, 1 mg 0% 33 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 24 $0.00
90687 0% 13 $0.00
99051 0% 18 $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 officialCAUDILL, L.M. (MIKE) (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under CAUDILL, L.M. (MIKE)

Full network →
ProviderLocationPaid
Mountain Comprehensive Health CorporationWhitesburg, KY$1.75M
Mountain Comprehensive Health CorporationWhitesburg, KY$92K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.