Clinic
A New Start Primary Care LLC
A New Start Primary Care LLC was paid $1.43M by Medicaid between Oct 2019 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoA NEW START PRIMARY CARE LLC
CENTRAL CITY, KY 42330
CENTRAL CITY, KY 42330
33aNPI1043796733assigned 07/16/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$1.43M
24GClaims38,495
24DCodes billed18
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#6 of 44
Median peer was paid$145K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2019 | 240 | $8K | |
| 2020 | 1,687 | $50K | |
| 2021 | 3,101 | $92K | |
| 2022 | 3,850 | $124K | |
| 2023 | 12,176 | $471K | |
| 2024incomplete | 17,441 | $688K |
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 | 56% | 22,553 | 18,620 | $802K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 32% | 12,022 | 9,211 | $456K |
| 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 | 5.5% | 1,994 | 1,675 | $79K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.3% | 952 | 863 | $77K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 195 | 155 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | 145 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 35 | 26 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 236 | 149 | $2K |
| 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 | <1% | 15 | 15 | $926.20 |
| 99406 | <1% | 113 | 99 | $724.81 | |
| 80305 | <1% | 31 | 29 | $296.10 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 18 | 16 | $133.36 |
6 more codes
| 82607 | <1% | 16 | $122.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $68.69 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | $63.26 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $50.98 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 93 | $39.76 |
| H0049 | Alcohol and/or drug screening | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialDUKES, TIMOTHY (CEO & PRESIDENT)