Physician
Hometown Family Care PLLC
Hometown Family Care PLLC was paid $1.43M by Medicaid between Jan 2018 and Jul 2019, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoHOMETOWN FAMILY CARE PLLC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1184793986assigned 11/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.43M
24GClaims50,772
24DCodes billed55
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#52 of 352
Median peer was paid$90K
This provider vs. median16×
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 | 33,426 | $940K | |
| 2019 | 17,346 | $488K |
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 | 52% | 21,416 | 18,208 | $740K |
| 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 | 14% | 3,833 | 3,444 | $198K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 1,101 | 1,075 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 842 | 810 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 930 | 886 | $60K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 3,038 | 2,913 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 3,793 | 3,500 | $39K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.4% | 1,073 | 869 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 1,616 | 1,570 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 1,281 | 1,194 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 286 | 282 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 472 | 464 | $14K |
43 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 396 | $11K |
| 92551 | <1% | 652 | $8K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 32 | $7K |
| 99173 | <1% | 154 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 60 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 75 | $5K |
| 90474 | <1% | 529 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 356 | $4K |
| 87807 | <1% | 374 | $4K | |
| 94664 | <1% | 325 | $3K | |
| 90651 | <1% | 227 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | $2K |
| 90633 | <1% | 1,116 | $2K | |
| 69210 | <1% | 56 | $1K | |
| 85018 | <1% | 374 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 90670 | <1% | 775 | $1K | |
| 96127 | <1% | 384 | $1K | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 284 | $1K |
| 98926 | <1% | 34 | $1K | |
| 90686 | <1% | 391 | $730.89 | |
| 90723 | <1% | 598 | $685.15 | |
| 90680 | <1% | 534 | $680.77 | |
| 90707 | <1% | 350 | $673.42 | |
| 90716 | <1% | 332 | $648.79 | |
| 90658 | <1% | 92 | $592.05 | |
| 90647 | <1% | 580 | $490.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $452.04 |
| 99462 | <1% | 18 | $349.50 | |
| 90620 | <1% | 52 | $337.90 | |
| 81002 | <1% | 551 | $337.04 | |
| 90685 | <1% | 233 | $276.56 | |
| 90734 | <1% | 197 | $233.63 | |
| 90696 | <1% | 73 | $190.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 84 | $148.38 |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 346 | $128.39 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 84 | $89.23 |
| 90715 | <1% | 75 | $68.64 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 21 | $41.09 |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 69 | $22.74 |
| 36416 | <1% | 72 | $3.27 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 18 | $0.00 |
| 90700 | 0% | 45 | $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 officialGROSSMAN, JOSEPH (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Regional Healthcare, INC. | West Liberty, KY | $246K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.