Clinic
Monticello Medical Associates, INC
Monticello Medical Associates, INC was paid $2.75M by Medicaid between May 2021 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoMONTICELLO MEDICAL ASSOCIATES, INC
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1063007672assigned 03/05/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.75M
24GClaims136,934
24DCodes billed48
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#13 of 37
Median peer was paid$1.29M
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2021 | 24,135 | $476K | |
| 2022 | 53,288 | $986K | |
| 2023 | 35,753 | $747K | |
| 2024incomplete | 23,758 | $545K |
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 | 79% | 85,105 | 58,528 | $2.16M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.6% | 3,276 | 2,957 | $237K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.5% | 14,038 | 6,011 | $123K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 1,597 | 1,467 | $42K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.2% | 1,667 | 1,367 | $34K |
| 80053 | Comprehensive metabolic panel | 1.1% | 5,476 | 4,501 | $29K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,267 | 5,144 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 508 | 463 | $21K |
| 80061 | Lipid panel | <1% | 1,737 | 1,501 | $11K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,948 | 1,431 | $8K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 950 | 667 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 247 | 228 | $5K |
36 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,069 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 527 | $4K |
| 82570 | <1% | 1,242 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,209 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 127 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,992 | $2K |
| 93000 | <1% | 151 | $2K | |
| 95117 | <1% | 226 | $2K | |
| 0011A | <1% | 58 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 693 | $2K |
| 0012A | <1% | 51 | $2K | |
| 99307 | <1% | 94 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 381 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 110 | $2K |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 790 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,305 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $1K |
| 72110 | <1% | 52 | $913.82 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 15 | $895.05 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,135 | $823.11 |
| 81003 | <1% | 1,279 | $812.20 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $800.79 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $711.36 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 39 | $448.40 |
| 81025 | <1% | 56 | $380.24 | |
| 87808 | <1% | 38 | $363.08 | |
| 90688 | <1% | 42 | $322.01 | |
| 87905 | <1% | 38 | $290.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $152.10 |
| 87220 | <1% | 52 | $148.59 | |
| 74018 | <1% | 13 | $110.19 | |
| 85018 | <1% | 34 | $99.61 | |
| 82550 | <1% | 17 | $60.43 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $17.28 |
| 82947 | <1% | 16 | $4.01 | |
| 91301 | <1% | 173 | $0.58 |
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 officialPARMELEE, ROBERT (CEO)
Parent organizationMONTICELLO MEDICAL ASSOCIATES, INC
| Provider | Location | Paid |
|---|---|---|
| Phillips Pratt & Mcfarland PSC | Monticello, KY | $3.02M |
| Phillips Pratt Mcfarland PSC | Monticello, KY | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.