Behavioral
Main Street Medical Associates
Main Street Medical Associates was paid $104K by Medicaid between Jun 2021 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoMAIN STREET MEDICAL ASSOCIATES
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1003496902assigned 04/13/2021
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$104K
24GClaims3,929
24DCodes billed6
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#69 of 112
Median peer was paid$240K
This provider vs. median0.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 830 | $15K | |
| 2022 | 1,403 | $38K | |
| 2023 | 1,094 | $33K | |
| 2024incomplete | 602 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 3,272 | 2,450 | $90K |
| 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 | 7.9% | 178 | 150 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.2% | 62 | 53 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 77 | 46 | $692.64 |
| 36415 | Collection of venous blood by venipuncture | <1% | 298 | 234 | $300.06 |
| 80305 | <1% | 42 | 17 | $172.62 |
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 officialFLETCHER, WYNETTA (OWNER)