Concentra Primary Care PA

Concentra Primary Care PA was paid $15K by Medicaid between Jan 2018 and Dec 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoCONCENTRA PRIMARY CARE PA
LEXINGTON, KY 40511

33aNPI1013265297assigned 08/21/2012

33bProvider typeFamily Medicine Physician

28Total paid$15K

24GClaims549

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#259 of 352

Median peer was paid$90K

This provider vs. median0.2×

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
2018	255	$7K
2019	191	$5K
2020	70	$2K
2022	33	$2K

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	66%	348	333	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23%	57	53	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	10%	128	63	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	16	16	$155.36

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 officialHASSETT, ROBERT (PRESIDENT / TREASURER)