Medicaid Provider Spending

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

MONROE MEDICAL FOUNDATION, INC.

NPI: 1114110202 · TOMPKINSVILLE, KY 42167 · Emergency Medicine Physician · NPI assigned 08/22/2007

$632K
Total Medicaid Paid
22,060
Total Claims
18,694
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRICH-MCLERRAN, ANDREA (CEO)
NPI Enumeration Date08/22/2007

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 $1.30M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,175 $126K
2019 4,159 $129K
2020 2,482 $77K
2021 3,403 $80K
2022 2,890 $67K
2023 3,033 $100K
2024 1,918 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 5,883 5,434 $228K
99284 Emergency department visit for the evaluation and management, high severity 3,344 3,055 $182K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,332 3,133 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,582 1,447 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,105 4,061 $37K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 537 489 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 144 129 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 542 511 $7K
99232 Subsequent hospital care, per day, moderate complexity 238 129 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 63 48 $2K
90686 79 73 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 32 29 $747.11
93016 27 25 $430.72
G0008 Administration of influenza virus vaccine 36 34 $419.29
93018 27 25 $351.36
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29 28 $348.44
99231 Subsequent hospital care, per day, straightforward or low complexity 23 12 $336.57
99217 16 13 $213.76
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 21 19 $61.56