Medicaid Provider Spending

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

HILLTOP PRIMARY CARE, INC

NPI: 1124084488 · PHELPS, KY 41553 · Family Medicine Physician · NPI assigned 04/25/2006

$589K
Total Medicaid Paid
29,469
Total Claims
24,636
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, ZACH (CEO)
NPI Enumeration Date04/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,594 $65K
2019 4,307 $61K
2020 4,118 $72K
2021 5,446 $123K
2022 4,493 $98K
2023 3,482 $73K
2024 4,029 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,242 10,709 $331K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,934 1,647 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,396 1,186 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 656 572 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,739 1,466 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,182 716 $18K
99490 Ccm add 20min 564 556 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,052 960 $13K
36415 Collection of venous blood by venipuncture 2,480 2,285 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 274 262 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 578 477 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 370 303 $6K
99439 190 187 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 123 100 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 241 233 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 37 $2K
90674 105 95 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 135 126 $1K
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 59 58 $727.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 87 76 $436.80
87807 35 33 $363.59
J2919 Injection, methylprednisolone sodium succinate, 5 mg 59 54 $334.55
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 30 29 $230.71
J1885 Injection, ketorolac tromethamine, per 15 mg 74 69 $218.06
80305 17 17 $128.78
97802 16 15 $105.02
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 17 14 $46.35
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,711 1,459 $14.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 20 13 $8.58
G8420 Bmi is documented within normal parameters and no follow-up plan is required 799 667 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 138 121 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 91 79 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 16 15 $0.00