Medicaid Provider Spending

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

MONROE MEDICAL FOUNDATION, INC.

NPI: 1083854434 · TOMPKINSVILLE, KY 42167 · Nurse Practitioner · NPI assigned 02/25/2009

$1.30M
Total Medicaid Paid
83,801
Total Claims
61,877
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRICH-MCLERRAN, ANDREA (C.E.O.)
NPI Enumeration Date02/25/2009

Related Entities

Other providers sharing the same authorized official: RICH-MCLERRAN, ANDREA

ProviderCityStateTotal Paid
MONROE MEDICAL FOUNDATION, INC. TOMPKINSVILLE KY $7.31M
MONROE MEDICAL FOUNDATION, INC. TOMPKINSVILLE KY $632K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,923 $235K
2019 21,584 $320K
2020 16,994 $244K
2021 15,200 $204K
2022 14,000 $201K
2023 5,621 $89K
2024 479 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,133 20,129 $797K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,853 2,274 $93K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,679 5,333 $77K
99219 980 840 $55K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,553 2,016 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 515 454 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,267 1,674 $31K
99217 914 793 $29K
99222 Initial hospital care, per day, moderate complexity 463 400 $18K
99225 610 524 $18K
99238 Hospital discharge day management, 30 minutes or less 605 515 $16K
99232 Subsequent hospital care, per day, moderate complexity 697 299 $15K
20552 740 562 $11K
36415 Collection of venous blood by venipuncture 3,042 2,553 $9K
71045 Radiologic examination, chest; single view 814 704 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 182 171 $7K
99218 336 273 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 264 223 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 35 $3K
93000 249 219 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 72 67 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 33 31 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,661 3,501 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 33 26 $1K
90686 102 79 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 107 92 $1K
99308 Subsequent nursing facility care, per day, straightforward 183 167 $1K
20550 78 45 $987.63
90674 74 69 $911.47
J1885 Injection, ketorolac tromethamine, per 15 mg 798 638 $855.91
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $785.80
J0290 Injection, ampicillin sodium, 500 mg 760 621 $610.57
G0008 Administration of influenza virus vaccine 120 110 $287.39
99422 21 12 $286.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $195.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 265 220 $133.83
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18 16 $113.84
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13,201 9,197 $61.86
81003 153 128 $57.91
3079F 36 30 $0.25
3078F 48 41 $0.25
3074F 45 34 $0.24
1111F 110 91 $0.13
3075F 20 17 $0.13
3077F 13 13 $0.12
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,913 1,444 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 140 118 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 6,738 4,964 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 64 55 $0.00
G0444 Annual depression screening, 5 to 15 minutes 25 24 $0.00