Clinic
Eastern Kentucky University
Eastern Kentucky University was paid $891K by Medicaid between Jan 2018 and Mar 2020, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoEASTERN KENTUCKY UNIVERSITY
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1164460051assigned 06/03/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$891K
24GClaims62,175
24DCodes billed56
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#21 of 37
Median peer was paid$1.29M
This provider vs. median0.7×
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 | 25,287 | $386K | |
| 2019 | 32,622 | $420K | |
| 2020 | 4,266 | $85K |
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 | 36% | 10,790 | 8,985 | $320K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 4,686 | 3,609 | $102K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.3% | 2,785 | 2,244 | $83K |
| 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 | 9.3% | 1,879 | 1,567 | $83K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.4% | 840 | 680 | $48K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.0% | 852 | 574 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 1,688 | 1,459 | $30K |
| 80305 | 3.3% | 3,226 | 2,288 | $29K | |
| 90686 | 2.5% | 2,264 | 1,945 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 1,999 | 1,785 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 1,469 | 1,293 | $18K |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 3,928 | 3,559 | $17K |
44 more codes
| 99385 | 1.8% | 258 | $16K | |
| 81025 | 1.3% | 1,871 | $12K | |
| G0467 | Community health center visit, returning patient | <1% | 1,088 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 87 | $5K |
| 99173 | <1% | 215 | $5K | |
| 90632 | <1% | 117 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $3K |
| 90746 | <1% | 56 | $3K | |
| 90461 | <1% | 171 | $2K | |
| 92551 | <1% | 204 | $2K | |
| 99408 | <1% | 286 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 139 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 141 | $1K |
| 90715 | <1% | 38 | $932.43 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $826.98 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 74 | $810.64 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $789.75 |
| 82044 | <1% | 139 | $718.79 | |
| 81003 | <1% | 518 | $711.02 | |
| 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% | 89 | $611.02 |
| 99384 | <1% | 13 | $607.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $324.78 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $200.88 |
| 82274 | <1% | 12 | $200.20 | |
| 90863 | <1% | 2,160 | $163.79 | |
| 96150 | <1% | 35 | $78.75 | |
| 90633 | <1% | 86 | $75.25 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 829 | $20.80 |
| 90734 | <1% | 15 | $10.00 | |
| 90651 | <1% | 31 | $10.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $5.91 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,958 | $0.00 |
| 3078F | 0% | 3,138 | $0.00 | |
| 3077F | 0% | 298 | $0.00 | |
| T1001 | Nursing assessment / evaluation | 0% | 103 | $0.00 |
| 3074F | 0% | 3,993 | $0.00 | |
| 3080F | 0% | 320 | $0.00 | |
| 4000F | 0% | 1,369 | $0.00 | |
| 3079F | 0% | 1,113 | $0.00 | |
| 3075F | 0% | 375 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 146 | $0.00 |
| 4050F | 0% | 118 | $0.00 | |
| 3351F | 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 officialFISTER, SUSAN (EXECUTIVE DIRECTOR)