Clinic
Spivey Medical, PLLC
Spivey Medical, PLLC was paid $471K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoSPIVEY MEDICAL, PLLC
LAWRENCEBURG, KY 40342
LAWRENCEBURG, KY 40342
33aNPI1093199242assigned 07/17/2015
33bProvider typeClinic/Center
28Total paid$471K
24GClaims21,513
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#16 of 42
Median peer was paid$224K
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 | |
|---|---|---|---|
| 2018 | 611 | $17K | |
| 2019 | 656 | $16K | |
| 2020 | 789 | $17K | |
| 2021 | 1,745 | $34K | |
| 2022 | 3,419 | $80K | |
| 2023 | 6,974 | $152K | |
| 2024incomplete | 7,319 | $154K |
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 | 69% | 13,451 | 11,242 | $324K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,544 | 1,366 | $63K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.3% | 1,513 | 1,323 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 2,167 | 1,931 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 616 | 546 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 1,569 | 1,366 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 598 | 534 | $11K |
| 87081 | <1% | 55 | 52 | $491.80 |
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 officialSHEWMAKER, JESSICA (PRESIDENT)