Community Medical Associates, INC.
Community Medical Associates, INC. was paid $1.21M by Medicaid between Mar 2019 and Nov 2024, across 18 billing codes. Its largest line is 87636, Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B — 47% of everything it billed.
LOUISVILLE, KY 40241
Next to other Family Medicine 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 | |
|---|---|---|---|
| 2019 | 140 | $5K | |
| 2020 | 1,645 | $83K | |
| 2021 | 2,625 | $187K | |
| 2022 | 3,982 | $272K | |
| 2023 | 7,045 | $366K | |
| 2024incomplete | 5,230 | $293K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 47% | 5,155 | 4,678 | $563K |
| 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 | 24% | 4,999 | 4,572 | $284K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 6,384 | 5,933 | $230K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.8% | 2,889 | 2,662 | $82K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 254 | 220 | $17K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 162 | 144 | $9K |
| 0002A | <1% | 168 | 160 | $5K | |
| 0001A | <1% | 164 | 159 | $5K | |
| 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% | 48 | 44 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 229 | 211 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | 31 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 17 | 14 | $674.82 |
6 more codes
| 90686 | <1% | 60 | $589.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $399.02 |
| 0004A | <1% | 12 | $345.02 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $235.72 |
| 99001 | <1% | 13 | $18.90 | |
| 91305 | 0% | 28 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.