Todd County Middle School Clinic

Todd County Middle School Clinic was paid $330K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 88% of everything it billed.

33Billing provider infoTODD COUNTY MIDDLE SCHOOL CLINIC
ELKTON, KY 42220

33aNPI1093042699assigned 11/03/2009

33bProvider typePublic Health or Welfare Agency

28Total paid$330K

24GClaims9,744

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#33 of 318

Median peer was paid$102K

This provider vs. median3.2×

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
2018	1,247	$48K
2019	2,407	$77K
2020	1,106	$31K
2021	1,022	$32K
2022	1,192	$44K
2023	1,704	$63K
2024incomplete	1,066	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	88%	7,388	3,850	$289K
D1206	Topical application of fluoride varnish	5.0%	910	885	$16K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.7%	894	94	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	98	68	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	18	18	$846.40
99173		<1%	375	373	$531.72
90734		<1%	17	17	$492.00
90461		<1%	16	16	$276.00
90715		<1%	16	16	$110.40
90651		<1%	12	12	$110.40

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 officialGRIGGS, SHEILA (ADM SPEC II)

Parent organizationTODD COUNTY HEALTH DEPARTMENT

Same official

Other billing entities under GRIGGS, SHEILA

Full network →

Provider	Location	Paid
North Todd Elementary School Clinic	Elkton, KY	$188K
South Todd Elementary School Clinic	Guthrie, KY	$182K
Todd County Health Department	Elkton, KY	$182K
Todd County Central High School Clinic	Elkton, KY	$123K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.