NP / PA
Dolphin Hills Family Healthcare
Dolphin Hills Family Healthcare was paid $43K by Medicaid between Oct 2021 and May 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoDOLPHIN HILLS FAMILY HEALTHCARE
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1114596095assigned 06/23/2021
33bProvider typeFamily Nurse Practitioner
28Total paid$43K
24GClaims2,129
24DCodes billed8
24AFirst – last monthOct 2021 – May 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#165 of 424
Median peer was paid$19K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2021 | 240 | $4K | |
| 2022 | 1,245 | $26K | |
| 2023 | 528 | $10K | |
| 2024incomplete | 116 | $4K |
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 | 66% | 1,092 | 896 | $29K |
| 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 | 28% | 330 | 257 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 66 | 52 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 21 | 15 | $478.74 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | 12 | $296.67 |
| 36415 | Collection of venous blood by venipuncture | <1% | 244 | 178 | $273.20 |
| 96127 | <1% | 115 | 87 | $249.40 | |
| 99000 | <1% | 246 | 203 | $20.00 |
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 officialBAUMGARDNER, MELISSA (OWNER)