Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KNOTT COUNTY CENTER FOR FAMILY HEALTH

NPI: 1053715706 · EMMALENA, KY 41740 · Internal Medicine Physician · NPI assigned 10/09/2014

$668K
Total Medicaid Paid
33,837
Total Claims
26,008
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADAMS, MARCIA (CFO)
NPI Enumeration Date10/09/2014

Related Entities

Other providers sharing the same authorized official: ADAMS, MARCIA

ProviderCityStateTotal Paid
KENTUCKY RIVER COMMUNITY CARE, INC HAZARD KY $109.24M
KENTUCKY RIVER COMMUNITY CARE, INC HAZARD KY $104.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,296 $80K
2019 4,221 $92K
2020 5,294 $121K
2021 6,575 $112K
2022 5,974 $102K
2023 4,433 $95K
2024 3,044 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,135 14,300 $516K
90832 Psychotherapy, 30 minutes with patient 2,233 1,814 $81K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,790 1,044 $19K
80305 1,969 1,601 $9K
36415 Collection of venous blood by venipuncture 4,615 3,968 $9K
90834 Psychotherapy, 45 minutes with patient 124 111 $6K
99385 108 76 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 141 112 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 66 62 $4K
Q3014 Telehealth originating site facility fee 1,846 1,437 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 143 125 $2K
96127 821 693 $2K
86580 343 280 $2K
90674 72 61 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 29 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 72 58 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 79 41 $715.09
J1040 Injection, methylprednisolone acetate, 80 mg 16 12 $350.81
90658 19 17 $229.31
90686 15 13 $223.41
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 18 $217.82
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 14 $202.94
90656 12 12 $160.20
G9968 Patient was referred to another clinician or specialist during the measurement period 133 95 $55.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19 15 $5.33