Clinic
Healthfirst Bluegrass INC
Healthfirst Bluegrass INC was paid $18.03M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoHEALTHFIRST BLUEGRASS INC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1114932514assigned 07/31/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$18.03M
24GClaims758,911
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#1 of 44
Median peer was paid$145K
This provider vs. median124×
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 | 85,394 | $2.36M | |
| 2019 | 86,107 | $2.42M | |
| 2020 | 71,001 | $2.32M | |
| 2021 | 157,131 | $2.41M | |
| 2022 | 171,598 | $2.74M | |
| 2023 | 99,078 | $2.96M | |
| 2024incomplete | 88,602 | $2.81M |
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 | 35% | 150,460 | 129,306 | $6.28M |
| 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 | 8.6% | 29,934 | 27,044 | $1.55M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.2% | 36,001 | 20,580 | $1.48M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 12,189 | 11,751 | $859K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 12,855 | 12,235 | $791K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 26,465 | 25,336 | $673K |
| 99173 | 3.3% | 12,032 | 11,506 | $589K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 20,977 | 19,798 | $570K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 5,232 | 5,101 | $374K |
| D0330 | Panoramic radiographic image | 2.0% | 8,672 | 7,958 | $364K |
| 90461 | 2.0% | 15,808 | 15,144 | $359K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 4,029 | 3,782 | $339K |
145 more codes
| 87428 | 1.2% | 4,887 | $211K | |
| D1110 | Prophylaxis - adult | 1.0% | 3,625 | $185K |
| D1120 | Dental cleaning, child | 1.0% | 4,329 | $184K |
| D0140 | Limited oral evaluation - problem focused | <1% | 5,277 | $178K |
| D0274 | Bitewings - four radiographic images | <1% | 7,728 | $177K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,255 | $172K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,270 | $164K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 1,555 | $162K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,567 | $159K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,187 | $155K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,655 | $132K |
| 92551 | <1% | 11,835 | $121K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,458 | $119K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,483 | $119K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13,142 | $111K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,022 | $106K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,278 | $106K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,709 | $106K |
| D0272 | Bitewings - two radiographic images | <1% | 5,479 | $97K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14,921 | $96K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,179 | $88K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13,134 | $82K |
| D1351 | Sealant - per tooth | <1% | 3,207 | $57K |
| 90632 | <1% | 1,261 | $52K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,289 | $49K |
| 90686 | <1% | 10,053 | $46K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,462 | $44K |
| D1206 | Topical application of fluoride varnish | <1% | 2,885 | $42K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 419 | $41K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,054 | $37K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 296 | $28K |
| G0467 | Community health center visit, returning patient | <1% | 2,824 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 763 | $22K |
| 90670 | <1% | 8,619 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,643 | $21K |
| 99188 | <1% | 1,196 | $16K | |
| 99385 | <1% | 233 | $15K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 222 | $13K |
| 99381 | <1% | 184 | $12K | |
| 36416 | <1% | 16,407 | $12K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 196 | $11K |
| D0120 | Dental checkup, returning patient | <1% | 416 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 118 | $9K |
| 81025 | <1% | 1,870 | $9K | |
| 90723 | <1% | 6,513 | $8K | |
| 0072A | <1% | 209 | $8K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 120 | $8K |
| 85018 | <1% | 3,517 | $8K | |
| 0071A | <1% | 208 | $7K | |
| 90688 | <1% | 2,034 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 665 | $7K |
| D0180 | <1% | 182 | $6K | |
| 90680 | <1% | 5,485 | $6K | |
| 90746 | <1% | 123 | $6K | |
| 87807 | <1% | 576 | $6K | |
| 0011A | <1% | 160 | $5K | |
| 81003 | <1% | 9,469 | $5K | |
| 90677 | <1% | 1,271 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 353 | $5K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 152 | $4K |
| 90715 | <1% | 285 | $4K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 49 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 54 | $4K |
| 90647 | <1% | 5,987 | $4K | |
| 0012A | <1% | 106 | $4K | |
| 0031A | <1% | 100 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,972 | $3K |
| 0064A | <1% | 115 | $3K | |
| 90474 | <1% | 399 | $3K | |
| 90651 | <1% | 754 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 50 | $3K |
| 0134A | <1% | 135 | $2K | |
| 90685 | <1% | 548 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 45 | $2K |
| 99386 | <1% | 28 | $2K | |
| 90633 | <1% | 2,922 | $2K | |
| 90682 | <1% | 127 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 35 | $2K |
| 90732 | <1% | 31 | $1K | |
| 0001A | <1% | 47 | $1K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 43 | $1K |
| 99417 | Prolong home eval add 15m | <1% | 36 | $1K |
| D0190 | <1% | 154 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 24 | $1K |
| 0002A | <1% | 27 | $1K | |
| 99383 | <1% | 13 | $899.06 | |
| 82962 | <1% | 407 | $786.39 | |
| 90656 | <1% | 815 | $776.26 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $743.43 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 69 | $726.61 |
| 90785 | <1% | 100 | $673.61 | |
| 90710 | <1% | 157 | $667.36 | |
| D0270 | <1% | 71 | $662.63 | |
| 90648 | <1% | 248 | $649.91 | |
| 82044 | <1% | 151 | $625.64 | |
| 90480 | <1% | 28 | $624.85 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 23 | $517.63 |
| 90734 | <1% | 299 | $436.58 | |
| 0094A | <1% | 16 | $321.71 | |
| 90696 | <1% | 144 | $228.80 | |
| 96152 | <1% | 26 | $182.40 | |
| 90707 | <1% | 142 | $179.31 | |
| 87210 | <1% | 38 | $169.99 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $167.85 |
| 94760 | <1% | 152 | $158.20 | |
| 90716 | <1% | 65 | $146.45 | |
| 90619 | <1% | 64 | $135.00 | |
| 90662 | <1% | 72 | $66.00 | |
| 90687 | <1% | 73 | $60.98 | |
| G0008 | Administration of influenza virus vaccine | <1% | 157 | $31.32 |
| 90700 | <1% | 107 | $27.00 | |
| 1126F | <1% | 17,409 | $19.35 | |
| 99000 | <1% | 532 | $14.70 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 16 | $13.70 |
| 1160F | <1% | 55,678 | $7.68 | |
| 1159F | <1% | 47,433 | $7.31 | |
| 3044F | <1% | 6,557 | $6.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $5.66 |
| 4010F | <1% | 5,860 | $4.12 | |
| 1125F | <1% | 2,776 | $3.08 | |
| 92583 | <1% | 72 | $0.01 | |
| 3079F | 0% | 6,792 | $0.00 | |
| 3074F | 0% | 17,534 | $0.00 | |
| D1330 | 0% | 4,354 | $0.00 | |
| 3075F | 0% | 1,446 | $0.00 | |
| 3008F | 0% | 527 | $0.00 | |
| 3080F | 0% | 703 | $0.00 | |
| 91307 | 0% | 318 | $0.00 | |
| 91306 | 0% | 41 | $0.00 | |
| 3060F | 0% | 41 | $0.00 | |
| D0602 | 0% | 64 | $0.00 | |
| D0603 | 0% | 15 | $0.00 | |
| D0601 | 0% | 59 | $0.00 | |
| 91309 | 0% | 16 | $0.00 | |
| 3048F | 0% | 27 | $0.00 | |
| 0503F | 0% | 33 | $0.00 | |
| 3078F | 0% | 14,115 | $0.00 | |
| 3077F | 0% | 2,133 | $0.00 | |
| 91322 | 0% | 28 | $0.00 | |
| 3046F | 0% | 32 | $0.00 | |
| 80306 | 0% | 226 | $0.00 | |
| 90649 | 0% | 66 | $0.00 | |
| 91308 | 0% | 28 | $0.00 | |
| 91313 | 0% | 117 | $0.00 | |
| 3051F | 0% | 27 | $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 officialLINSCOTT, WAYNE (CEO)