Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

High Mountain Healthcare, LLC (NPI 1417088865)

Field	Value
Entity Type	Organization
Organization	High Mountain Healthcare, LLC
Address	63 Pleasant Hill Rd
City	Blairsville
State	GA
ZIP	30512
Taxonomy	Family Medicine Physician
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$169.9K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	26,390	$10	$131.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	590	$60	$33.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	20	$140	$2.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	50	$20	$1.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	110	$10	$780
1036F	N/A	840	$0	$0
1159F	No Summary found for this code	1,980	$0	$0
1160F	No Summary found for this code	2,100	$0	$0
3008F	No Summary found for this code	1,190	$0	$0
3074F	No Summary found for this code	430	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

High Mountain Healthcare, LLC — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	406	920	370	$60	$360.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	13	20	200	$60	$132K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1	10	540	$10	$19.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	110	150	660	$10	$15.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	100	150	130	$10	$15.2K
3074F	No Summary found for this code	28	90	90	$1	$130
3008F	No Summary found for this code	28	100	230	$1	$110
3078F	No Summary found for this code	28	90	90	$1	$110
1036F	N/A	27	90	150	$1	$100
1160F	No Summary found for this code	13	70	160	$1	$100

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with High Mountain Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Nizar Eskandar	GA	Nephrology Physician	$899.7K	$0
Scott Rojas	FL	Infectious Disease Physician	$806K	$0
Sunil Kini	IL	Diagnostic Radiology Physician	$563.3K	$9.2K
John Inman	GA	Obstetrics & Gynecology Physician	$560.5K	$0
Firas Bannout	GA	Internal Medicine Physician	$512.7K	$0
Joe Morgan	GA	Vascular Surgery Physician	$439.9K	$0
Sabin Tomus	GA	Internal Medicine Physician	$421.9K	$0
Garrett White	GA	Nephrology Physician	$380K	$0

Nearby Providers

Other providers in the same ZIP code as High Mountain Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union General Hospital Inc	GA	General Acute Care Hospital	$0	$6.3M
Jonathan Barnes	GA	Radiation Oncology Physician	$1.1M	$0
Union General Ambulance Service Inc.	GA	Land Ambulance	$853.7K	$0
Thomas Gary	GA	Family Medicine Physician	$624.7K	$0
Mary Wiles	GA	Internal Medicine Physician	$452.8K	$0
Megan Smith	GA	Cardiovascular Disease Physician	$421.8K	$0
Mary Elizabeth Wiles	GA	Internal Medicine Physician	$343.5K	$0
Alan Sanders	GA	Family Medicine Physician	$341.3K	$0
Mark Gibson	GA	Cardiovascular Disease Physician	$320.5K	$150
Joe Livingston	GA	Family Medicine Physician	$316.2K	$0

High Mountain Healthcare, LLC — Billing Profile & Reimbursement Data

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High Mountain Healthcare, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References