Clinic
The James B. Haggin Memorial Hospital INC
The James B. Haggin Memorial Hospital INC was paid $1.00M by Medicaid between Oct 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoTHE JAMES B. HAGGIN MEMORIAL HOSPITAL INC
HARRODSBURG, KY 40330
HARRODSBURG, KY 40330
33aNPI1184138356assigned 11/27/2017
33bProvider typeRural Health Clinic/Center
28Total paid$1.00M
24GClaims31,598
24DCodes billed21
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#61 of 265
Median peer was paid$400K
This provider vs. median2.5×
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 | 1,132 | $32K | |
| 2019 | 5,705 | $149K | |
| 2020 | 4,600 | $121K | |
| 2021 | 4,931 | $130K | |
| 2022 | 6,846 | $238K | |
| 2023 | 4,630 | $175K | |
| 2024incomplete | 3,754 | $160K |
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 | 50% | 14,425 | 12,284 | $500K |
| 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 | 18% | 3,517 | 3,064 | $180K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 9.5% | 3,045 | 2,743 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,031 | 990 | $66K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.9% | 492 | 432 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 609 | 573 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 435 | 398 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 1,241 | 1,136 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,020 | 463 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 99 | 81 | $7K |
| 87634 | <1% | 126 | 107 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 79 | 73 | $5K |
9 more codes
| 92552 | <1% | 333 | $4K | |
| 85018 | <1% | 1,751 | $4K | |
| 81003 | <1% | 1,419 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $1K |
| 36416 | <1% | 1,813 | $849.82 | |
| 90686 | <1% | 28 | $518.85 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 38 | $446.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $338.96 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 26 | $18.77 |
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 officialMCKAY, DANIEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $2.99M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $1.51M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $1.39M |
| The James B. Haggin Memorial Hospital INC | Harrodsburg, KY | $405K |
| Emhfl, INC. | Stanford, KY | $46K |
| Ephraim Mcdowell Health Resource, INC | Stanford, KY | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.