Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pikeville Medical Center INC

Pikeville Medical Center INC was paid $155K by Medicaid between Jan 2018 and Jun 2019, across 7 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 61% of everything it billed.

33Billing provider infoPIKEVILLE MEDICAL CENTER INC
PIKEVILLE, KY 41501
33aNPI1023011921assigned 05/24/2005
33bProvider typeCase Management Agency
28Total paid$155K
24GClaims2,478
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#86 of 94
Median peer was paid$3.21M
This provider vs. median0.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,746$108K
2019732$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 61% 1,521 407 $95K
T4541 Incontinence product, disposable underpad, large, each 13% 260 227 $20K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 11% 260 155 $17K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 7.9% 233 62 $12K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 5.9% 55 48 $9K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes <1% 31 16 $1K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 118 45 $712.95

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 officialHAGY, MICHELLE (CFO)
Same official

Other billing entities under HAGY, MICHELLE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.