Physician
Estill Medical Clinic, PSC
Estill Medical Clinic, PSC was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoESTILL MEDICAL CLINIC, PSC
IRVINE, KY 40336
IRVINE, KY 40336
33aNPI1154500296assigned 10/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.05M
24GClaims41,866
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#66 of 352
Median peer was paid$90K
This provider vs. median12×
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 | 6,480 | $168K | |
| 2019 | 5,634 | $141K | |
| 2020 | 5,738 | $163K | |
| 2021 | 7,002 | $166K | |
| 2022 | 6,509 | $153K | |
| 2023 | 6,097 | $151K | |
| 2024incomplete | 4,406 | $110K |
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 | 95% | 38,177 | 29,076 | $1.01M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 1,480 | 1,112 | $18K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 83 | 67 | $6K |
| 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% | 510 | 449 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 275 | 244 | $4K |
| 99304 | <1% | 154 | 36 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 194 | 179 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 86 | 67 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 32 | 26 | $2K |
| 99406 | <1% | 317 | 241 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 102 | 83 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 178 | 158 | $125.99 |
6 more codes
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 officialISFORT, DONNA (OWNER)