Physician
Phillips Pratt & Mcfarland PSC
Phillips Pratt & Mcfarland PSC was paid $3.02M by Medicaid between Jan 2018 and Nov 2021, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoPHILLIPS PRATT & MCFARLAND PSC
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1104963305assigned 01/30/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.02M
24GClaims118,645
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#24 of 352
Median peer was paid$90K
This provider vs. median34×
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 | 43,454 | $1.10M | |
| 2019 | 41,825 | $1.08M | |
| 2020 | 23,179 | $615K | |
| 2021 | 10,187 | $220K |
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 | 83% | 88,811 | 65,567 | $2.51M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.5% | 9,097 | 7,034 | $165K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 2,305 | 2,186 | $64K |
| 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 | 2.0% | 1,652 | 1,348 | $60K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.6% | 1,807 | 1,459 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,052 | 907 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 286 | 268 | $18K |
| 99307 | <1% | 557 | 556 | $15K | |
| 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% | 228 | 204 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 191 | 185 | $14K |
| 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% | 850 | 787 | $10K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 689 | 501 | $9K |
32 more codes
| 95117 | <1% | 637 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 95 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 481 | $6K |
| 90688 | <1% | 634 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 566 | $5K |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 1,549 | $5K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,023 | $4K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,290 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 413 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 23 | $2K |
| 90756 | <1% | 157 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,302 | $2K |
| 0031A | <1% | 33 | $1K | |
| 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% | 177 | $889.32 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 394 | $661.08 |
| 90633 | <1% | 571 | $581.96 | |
| 90670 | <1% | 262 | $564.13 | |
| 90461 | <1% | 16 | $548.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | $530.80 |
| 99318 | <1% | 17 | $408.00 | |
| 90734 | <1% | 47 | $268.12 | |
| 93000 | <1% | 14 | $242.67 | |
| 90680 | <1% | 38 | $150.40 | |
| 90651 | <1% | 63 | $128.80 | |
| 90698 | <1% | 17 | $73.60 | |
| 90723 | <1% | 16 | $70.72 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $39.62 |
| 90648 | <1% | 86 | $26.21 | |
| 90710 | 0% | 13 | $0.00 | |
| 91303 | 0% | 33 | $0.00 | |
| 90696 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialPARMELEE, ROBERT (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Monticello Medical Associates, INC | Monticello, KY | $2.75M |
| Phillips Pratt Mcfarland PSC | Monticello, KY | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.