Clinic
Pennyroyal Healthcare Services, INC.
Pennyroyal Healthcare Services, INC. was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPENNYROYAL HEALTHCARE SERVICES, INC.
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1124319942assigned 04/27/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.29M
24GClaims57,200
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#19 of 37
Median peer was paid$1.29M
This provider vs. median1.0×
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 | 7,202 | $181K | |
| 2019 | 5,871 | $166K | |
| 2020 | 5,123 | $151K | |
| 2021 | 7,519 | $169K | |
| 2022 | 13,058 | $243K | |
| 2023 | 10,370 | $208K | |
| 2024incomplete | 8,057 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 12,394 | 10,213 | $537K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 14,432 | 11,822 | $395K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 2,279 | 1,887 | $66K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.5% | 3,986 | 1,483 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 511 | 438 | $25K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 851 | 691 | $23K |
| D0330 | Panoramic radiographic image | 1.7% | 764 | 580 | $22K |
| D1110 | Prophylaxis - adult | 1.6% | 465 | 412 | $21K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 306 | 214 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 705 | 560 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 308 | 134 | $16K |
| 87428 | 1.2% | 465 | 413 | $15K |
61 more codes
| 99442 | <1% | 345 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 525 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 522 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 247 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 669 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 114 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,384 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 752 | $4K |
| D1120 | Dental cleaning, child | <1% | 68 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 245 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 233 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 131 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 303 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 231 | $2K |
| 99406 | <1% | 322 | $2K | |
| 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% | 235 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 72 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 492 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 127 | $1K |
| 99072 | <1% | 1,164 | $1K | |
| 99441 | <1% | 77 | $1K | |
| 90674 | <1% | 77 | $1K | |
| 90686 | <1% | 90 | $876.71 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 56 | $856.40 |
| 99201 | <1% | 20 | $682.33 | |
| 99429 | <1% | 32 | $533.31 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 55 | $351.62 |
| 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 | <1% | 41 | $202.83 |
| 90461 | <1% | 17 | $181.30 | |
| 90656 | <1% | 15 | $145.30 | |
| D0270 | <1% | 22 | $125.70 | |
| 82465 | <1% | 33 | $92.17 | |
| 36416 | <1% | 12 | $9.81 | |
| 81003 | <1% | 14 | $5.07 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,983 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 756 | $0.00 |
| 3074F | 0% | 1,065 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 262 | $0.00 |
| 3079F | 0% | 659 | $0.00 | |
| D0603 | 0% | 20 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 63 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 109 | $0.00 |
| 3075F | 0% | 119 | $0.00 | |
| 99000 | 0% | 41 | $0.00 | |
| 3008F | 0% | 19 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 132 | $0.00 |
| 4010F | 0% | 25 | $0.00 | |
| 1125F | 0% | 20 | $0.00 | |
| 1159F | 0% | 1,209 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,591 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 235 | $0.00 |
| 3078F | 0% | 617 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 86 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 205 | $0.00 |
| 1160F | 0% | 380 | $0.00 | |
| 888888 | 0% | 108 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 81 | $0.00 |
| 4013F | 0% | 29 | $0.00 | |
| 86689 | 0% | 14 | $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 officialFULCHER, KECIA (CEO/DIRECTOR)