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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Log Mountain Family Healthcare LLC (NPI 1972536324)

Field	Value
Entity Type	Organization
Organization	Log Mountain Family Healthcare LLC
Address	101 Mountain View Cmns
City	Pineville
State	KY
ZIP	40977
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	99,430	$30	$3.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	17,910	$40	$788.1K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	1,420	$40	$59.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	810	$30	$27.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	560	$40	$20.6K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	520	$10	$4.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$20	$1.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Log Mountain Family Healthcare LLC — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

7 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…	45	3,340	1,020	$30	$296K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	119	2,460	580	$40	$245K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	92	320	180	$70	$79.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,110	1,450	270	$30	$61K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	59	250	90	$70	$42.2K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	28	210	190	$30	$27.4K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	48	170	140	$10	$8.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pineville Community Health Center Inc	KY	Rural Health Clinic/Center	$0	$7.5M
Pineville Community Health Center Inc	KY	General Acute Care Hospital	$0	$3.7M
County Of Bell	KY	Land Ambulance	$172.6K	$482.2K
Corey Campbell	KY	Physician Assistant	$170.9K	$0
Grace Runions	KY	Psychiatric/Mental Health Nurse Practitioner	$25.5K	$220
Chasity King	KY	Family Nurse Practitioner	$15.8K	$0
Martha Combs-woolum	KY	Internal Medicine Physician	$15.8K	$0
Madhan Mohan	KY	Internal Medicine Physician	$12.9K	$0

Log Mountain Family Healthcare LLC — Billing Profile & Reimbursement Data

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Log Mountain Family 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

Nearby Providers

Frequently Asked Questions

References