Paintsville Hma Physician Management, LLC
Paintsville Hma Physician Management, LLC was paid $2.41M by Medicaid between Jan 2018 and Nov 2021, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
PAINTSVILLE, KY 41240
Next to other Anesthesiology Physician providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,495 | $561K | |
| 2019 | 30,339 | $619K | |
| 2020 | 25,861 | $539K | |
| 2021 | 35,523 | $687K |
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 | 37% | 36,976 | 28,223 | $895K |
| 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 | 9.1% | 6,391 | 4,881 | $219K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.2% | 13,021 | 9,196 | $150K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 2,257 | 1,781 | $126K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 6,625 | 5,722 | $125K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 4.5% | 3,916 | 3,027 | $107K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 1,696 | 1,414 | $86K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 4,329 | 1,930 | $78K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 769 | 633 | $57K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 1,892 | 1,513 | $51K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 413 | 400 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,418 | 2,069 | $34K |
80 more codes
| 99205 | Prolong outpt/office vis | 1.3% | 412 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 490 | $31K |
| 20610 | 1.3% | 938 | $31K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 850 | $28K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 461 | $27K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 523 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,132 | $22K |
| 99442 | <1% | 825 | $22K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 272 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,119 | $18K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 237 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 298 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 335 | $16K |
| 99443 | <1% | 302 | $14K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,847 | $14K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 6,773 | $9K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,254 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 681 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 331 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 119 | $7K |
| 99490 | Ccm add 20min | <1% | 1,587 | $6K |
| 90686 | <1% | 382 | $5K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 41 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 353 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 633 | $4K |
| 73030 | <1% | 236 | $4K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 285 | $3K |
| 99219 | <1% | 55 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,226 | $3K |
| 99441 | <1% | 170 | $3K | |
| 73560 | <1% | 137 | $2K | |
| 90674 | <1% | 83 | $2K | |
| 99217 | <1% | 68 | $2K | |
| 99386 | <1% | 38 | $2K | |
| 92341 | <1% | 27 | $2K | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 156 | $2K |
| 00731 | <1% | 30 | $2K | |
| 99218 | <1% | 54 | $2K | |
| 73565 | <1% | 99 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 305 | $1K |
| 73562 | <1% | 64 | $1K | |
| 99234 | <1% | 20 | $1K | |
| 80305 | <1% | 171 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 43 | $999.89 |
| 99307 | <1% | 254 | $808.99 | |
| 00813 | <1% | 18 | $743.89 | |
| 90836 | <1% | 26 | $717.40 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 21 | $669.61 |
| 99497 | <1% | 164 | $524.81 | |
| 97763 | <1% | 24 | $494.51 | |
| 73630 | <1% | 29 | $462.80 | |
| 73610 | <1% | 15 | $293.28 | |
| 00142 | <1% | 17 | $277.11 | |
| 90662 | <1% | 51 | $226.24 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 114 | $213.88 |
| J3490 | Unclassified drugs | <1% | 173 | $169.72 |
| 99406 | <1% | 19 | $153.27 | |
| 81002 | <1% | 153 | $97.55 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 22 | $74.16 |
| 97760 | <1% | 13 | $36.48 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $36.34 |
| 96127 | <1% | 12 | $30.27 | |
| 99439 | <1% | 15 | $24.43 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 189 | $2.78 |
| 3078F | <1% | 361 | $1.05 | |
| 3074F | <1% | 205 | $0.79 | |
| 3008F | <1% | 543 | $0.51 | |
| 3077F | <1% | 75 | $0.24 | |
| 3079F | <1% | 39 | $0.14 | |
| 3080F | <1% | 14 | $0.09 | |
| 1160F | <1% | 1,281 | $0.04 | |
| 1159F | <1% | 466 | $0.03 | |
| 3075F | <1% | 15 | $0.02 | |
| 99024 | 0% | 172 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 115 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 108 | $0.00 |
| 1036F | 0% | 84 | $0.00 | |
| 1101F | 0% | 19 | $0.00 | |
| 99000 | 0% | 21 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 178 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mckenzie-Willamette Regional Medical Center Associates LLC | Springfield, OR | $44.67M |
| Deming Hospital Corporation | Deming, NM | $11.41M |
| Three Rivers Medical Clinics INC | Louisa, KY | $7.06M |
| Ambulance Services of Forrest City LLC | Forrest City, AR | $3.51M |
| Ambulance Services of Tooele, LLC | Tooele, UT | $3.42M |
| Deming Clinic Corporation | Deming, NM | $2.06M |
| Fort Payne Clinic Corp. | Fort Payne, AL | $2.00M |
| San Miguel Clinic Corp | Las Vegas, NM | $1.76M |
| Fort Payne RHC Corp | Fort Payne, AL | $1.76M |
| Jackson Hospital Corporation | Beattyville, KY | $1.68M |
| Tooele Clinic Corp | Tooele, UT | $1.29M |
| Williamston Clinic Corp | Williamston, NC | $1.26M |
| Mckenzie Physician Services LLC | Brentwood, TN | $1.24M |
| Anna Hospital Corporation | Anna, IL | $1.17M |
| Big Bend Hospital Corporation | Alpine, TX | $952K |
| Kentucky River Physician Corporation | Jackson, KY | $948K |
| Fort Payne HBP LLC | Fort Payne, AL | $731K |
| Forrest City Clinic Company LLC | Forrest City, AR | $702K |
| Mesquite Clinic Management Company LLC | Logandale, NV | $597K |
| Mesquite Clinic Management Company LLC | Mesquite, NV | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.