Clinic
Primary Care Centers of Eastern Kentucky, LLC
Primary Care Centers of Eastern Kentucky, LLC was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
SCUDDY, KY 41760
SCUDDY, KY 41760
33aNPI1184676314assigned 05/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.64M
24GClaims147,206
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#12 of 265
Median peer was paid$400K
This provider vs. median9.1×
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 | 21,376 | $732K | |
| 2019 | 17,953 | $501K | |
| 2020 | 14,341 | $403K | |
| 2021 | 25,473 | $669K | |
| 2022 | 23,934 | $556K | |
| 2023 | 20,838 | $432K | |
| 2024incomplete | 23,291 | $350K |
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 | 55% | 65,625 | 48,455 | $1.99M |
| 99334 | 14% | 4,019 | 3,151 | $492K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.9% | 5,360 | 2,589 | $250K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.2% | 7,411 | 6,430 | $191K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 4,199 | 3,347 | $189K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.6% | 11,914 | 10,929 | $166K |
| 80053 | Comprehensive metabolic panel | 1.6% | 7,372 | 6,862 | $59K |
| 80305 | 1.4% | 5,285 | 2,901 | $52K | |
| 80061 | Lipid panel | 1.3% | 4,837 | 4,524 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 7,410 | 6,879 | $43K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.1% | 1,375 | 1,179 | $41K |
| 99348 | <1% | 267 | 248 | $27K |
52 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,913 | $19K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 493 | $12K |
| 99347 | <1% | 40 | $9K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,632 | $9K |
| 99307 | <1% | 250 | $8K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 446 | $4K |
| 99335 | <1% | 12 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 968 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 143 | $2K |
| 81025 | <1% | 296 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,408 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 162 | $2K |
| 82044 | <1% | 473 | $2K | |
| 90686 | <1% | 172 | $2K | |
| 90632 | <1% | 47 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $2K |
| 82570 | <1% | 459 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | $2K |
| 93000 | <1% | 112 | $1K | |
| 90688 | <1% | 145 | $1K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 265 | $1K |
| 99406 | <1% | 109 | $859.67 | |
| 81001 | <1% | 1,399 | $733.72 | |
| 90732 | <1% | 14 | $612.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 129 | $328.96 |
| 96127 | <1% | 106 | $289.66 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $267.54 |
| 87807 | <1% | 18 | $266.40 | |
| 90633 | <1% | 189 | $158.16 | |
| 86580 | <1% | 59 | $74.52 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $61.87 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $59.34 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 13 | $56.60 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 12 | $52.05 |
| 85651 | <1% | 14 | $31.23 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $31.15 |
| 90651 | <1% | 33 | $18.40 | |
| 3074F | <1% | 2,669 | $14.02 | |
| 3078F | <1% | 2,702 | $13.47 | |
| 3044F | <1% | 1,307 | $6.47 | |
| 3079F | <1% | 1,012 | $5.26 | |
| 3075F | <1% | 592 | $2.70 | |
| 3077F | <1% | 523 | $2.55 | |
| 3080F | <1% | 128 | $0.70 | |
| 3046F | <1% | 18 | $0.06 | |
| 3045F | <1% | 12 | $0.05 | |
| 4004F | 0% | 121 | $0.00 | |
| 90734 | 0% | 18 | $0.00 | |
| 2028F | 0% | 28 | $0.00 | |
| 2022F | 0% | 13 | $0.00 | |
| 4000F | 0% | 122 | $0.00 | |
| 3008F | 0% | 202 | $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 officialMARTIN, BARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Primary Care Centers of Eastern Kentucky, LLC | Hazard, KY | $26.30M |
| Beacons of Hope, LLC | Hazard, KY | $6.58M |
| Primary Care Centers of Eastern Kentucky, LLC | Hindman, KY | $1.81M |
| Primary Care Centers of Eastern Kentucky, LLC | Hyden, KY | $1.52M |
| Homecare Advantage,llc | Terre Haute, IN | $57K |
| Mary E Martin Diabetes Center of Excellence, INC | Hazard, KY | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.