Arh Mary Breckinridge Health Services, INC.
Arh Mary Breckinridge Health Services, INC. was paid $854K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
HYDEN, KY 41749
Next to other Rural Health Clinic/Center 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 | 6,428 | $188K | |
| 2019 | 4,293 | $129K | |
| 2020 | 3,406 | $99K | |
| 2021 | 3,637 | $89K | |
| 2022 | 3,060 | $82K | |
| 2023 | 5,188 | $135K | |
| 2024incomplete | 5,097 | $133K |
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 | 44% | 14,771 | 12,301 | $379K |
| 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 | 41% | 10,377 | 8,605 | $348K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 1,147 | 1,043 | $56K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,839 | 1,589 | $16K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 207 | 60 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 251 | 224 | $7K |
| 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% | 753 | 697 | $6K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 133 | 28 | $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% | 57 | 55 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 166 | 59 | $3K |
| 80305 | <1% | 313 | 293 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | 29 | $3K |
25 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 103 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 55 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 191 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 99219 | <1% | 35 | $1K | |
| 99442 | <1% | 45 | $1K | |
| 99235 | <1% | 14 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $565.34 |
| 90686 | <1% | 41 | $563.22 | |
| 0002A | <1% | 12 | $480.00 | |
| 90632 | <1% | 13 | $399.49 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 26 | $385.65 |
| 99490 | Ccm add 20min | <1% | 12 | $359.75 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $119.34 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $81.37 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 22 | $45.35 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $33.10 |
| 91300 | 0% | 103 | $0.00 | |
| 90649 | 0% | 17 | $0.00 | |
| 90633 | 0% | 57 | $0.00 | |
| 3078F | 0% | 76 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| 3079F | 0% | 30 | $0.00 | |
| 3074F | 0% | 53 | $0.00 | |
| 91301 | 0% | 18 | $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.