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MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Clinic/Center, Primary Care·WHITESBURG, KY·NPI: 1902980865Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.5M

$62,460,702

Total Claims

3.2M

Beneficiaries

2.5M

1.3 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+26%
2019
$6.9M
+14%
2020
$7.8M
+26%
2021
$9.9M
+9%
2022
$10.8M
+9%
2023
$11.9M
-18%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$16.1M

349K claims · 25.8%

Your Cost: $46.18/claim|Median: $53.41
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$12.0M

362K claims · 19.3%

Your Cost: $33.25/claim|Median: $37.81
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$4.3M

40K claims · 6.9%

Your Cost: $107.88/claim|Median: $91.47
1.2× median
T2023Normal range

Community transition, waiver; per service

$2.4M

8,021 claims · 3.9%

Your Cost: $303.93/claim|Median: $300.13
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$2.3M

61K claims · 3.7%

Your Cost: $37.22/claim|Median: $41.28
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$1.8M

70K claims · 2.8%

Your Cost: $25.49/claim|Median: $25.06
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$1.3M

176K claims · 2.1%

Your Cost: $7.62/claim|Median: $21.91
0.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$1.2M

46K claims · 2.0%

Your Cost: $26.58/claim|Median: $36.79
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.1M

18K claims · 1.7%

Your Cost: $59.31/claim|Median: $47.08
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$959K

11K claims · 1.5%

Your Cost: $84.38/claim|Median: $76.06
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$958K

70K claims · 1.5%

Your Cost: $13.72/claim|Median: $11.48
1.2× median
80050Normal range

General health panel

$874K

25K claims · 1.4%

Your Cost: $35.23/claim|Median: $25.59
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$857K

16K claims · 1.4%

Your Cost: $52.72/claim|Median: $39.63
1.3× median
80305Top 25%

$741K

73K claims · 1.2%

Your Cost: $10.19/claim|Median: $7.44
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$593K

14K claims · 0.9%

Your Cost: $43.26/claim|Median: $57.39
0.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$517K

2,283 claims · 0.8%

Your Cost: $226.53/claim|Median: $169.17
1.3× median
80061Normal range

Lipid panel

$484K

51K claims · 0.8%

Your Cost: $9.42/claim|Median: $8.41
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$445K

18K claims · 0.7%

Your Cost: $24.75/claim|Median: $23.99
1.0× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$439K

41K claims · 0.7%

Your Cost: $10.68/claim|Median: $8.72
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$423K

7,005 claims · 0.7%

Your Cost: $60.46/claim|Median: $69.35
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$417K

6,263 claims · 0.7%

Your Cost: $66.60/claim|Median: $72.71
0.9× median
80053Normal range

Comprehensive metabolic panel

$385K

52K claims · 0.6%

Your Cost: $7.42/claim|Median: $7.24
1.0× median
V2020Normal range

Frames, purchases

$374K

13K claims · 0.6%

Your Cost: $29.17/claim|Median: $19.33
1.5× median
J0696Top 10%

$351K

25K claims · 0.6%

Your Cost: $13.80/claim|Median: $1.34
10.3× median
D0330Normal range

Panoramic radiographic image

$345K

8,451 claims · 0.6%

Your Cost: $40.84/claim|Median: $37.36
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$345K

15K claims · 0.6%

Your Cost: $23.02/claim|Median: $12.59
1.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$305K

27K claims · 0.5%

Your Cost: $11.43/claim|Median: $9.87
1.2× median
76830Normal range

Ultrasound, transvaginal

$288K

8,855 claims · 0.5%

Your Cost: $32.57/claim|Median: $57.47
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$282K

3,836 claims · 0.5%

Your Cost: $73.43/claim|Median: $108.91
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$279K

4,194 claims · 0.4%

Your Cost: $66.55/claim|Median: $75.18
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$279K

44K claims · 0.4%

Your Cost: $6.38/claim|Median: $5.50
1.2× median
99490Top 10%

Chronic care management services, 20 minutes per month

$274K

10K claims · 0.4%

Your Cost: $26.65/claim|Median: $6.31
4.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$264K

6,289 claims · 0.4%

Your Cost: $42.04/claim|Median: $51.25
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$262K

119K claims · 0.4%

Your Cost: $2.20/claim|Median: $1.57
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$250K

8,549 claims · 0.4%

Your Cost: $29.29/claim|Median: $47.65
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$249K

6,509 claims · 0.4%

Your Cost: $38.28/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$248K

8,938 claims · 0.4%

Your Cost: $27.70/claim|Median: $32.07
0.9× median
92340Top 10%

Fitting of spectacles, except for aphakia

$247K

7,487 claims · 0.4%

Your Cost: $32.95/claim|Median: $19.46
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$220K

7,155 claims · 0.4%

Your Cost: $30.74/claim|Median: $27.07
1.1× median
H0002Normal range

Behavioral health screening

$215K

3,970 claims · 0.3%

Your Cost: $54.22/claim|Median: $38.77
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$214K

4,187 claims · 0.3%

Your Cost: $51.19/claim|Median: $63.65
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$202K

2,599 claims · 0.3%

Your Cost: $77.87/claim|Median: $85.66
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$201K

38K claims · 0.3%

Your Cost: $5.25/claim|Median: $4.71
1.1× median
J0561Normal range

$190K

1,250 claims · 0.3%

Your Cost: $152.23/claim|Median: $96.49
1.6× median
99307Top 1%

$178K

1,696 claims · 0.3%

Your Cost: $105.09/claim|Median: $6.57
16.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$162K

4,752 claims · 0.3%

Your Cost: $34.12/claim|Median: $37.22
0.9× median
84439Normal range

Free thyroxine level blood test

$153K

24K claims · 0.2%

Your Cost: $6.45/claim|Median: $6.31
1.0× median
85027Normal range

Complete blood count (CBC), automated

$152K

30K claims · 0.2%

Your Cost: $5.10/claim|Median: $3.72
1.4× median
59409Normal range

Vaginal delivery only

$140K

193 claims · 0.2%

Your Cost: $725.59/claim|Median: $619.91
1.2× median
H0031Normal range

Mental health assessment by non-physician

$136K

2,376 claims · 0.2%

Your Cost: $57.09/claim|Median: $96.18
0.6× median

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