Clinic
Frederick Medical Clinic PSC
Frederick Medical Clinic PSC was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoFREDERICK MEDICAL CLINIC PSC
WEST LIBERTY, KY 41472
WEST LIBERTY, KY 41472
33aNPI1194829812assigned 09/12/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.00M
24GClaims120,700
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#20 of 265
Median peer was paid$400K
This provider vs. median7.5×
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 | 20,685 | $524K | |
| 2019 | 21,066 | $527K | |
| 2020 | 16,708 | $429K | |
| 2021 | 20,194 | $464K | |
| 2022 | 20,110 | $455K | |
| 2023 | 13,993 | $350K | |
| 2024incomplete | 7,944 | $249K |
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 | 76% | 71,093 | 40,487 | $2.28M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.4% | 3,181 | 2,440 | $251K |
| 80305 | 6.7% | 29,257 | 8,397 | $199K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 4,128 | 3,808 | $82K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 5,197 | 2,909 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,524 | 1,334 | $35K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 583 | 570 | $25K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,589 | 1,504 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,515 | 1,408 | $15K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 433 | 295 | $9K |
| 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 | <1% | 118 | 107 | $6K |
| 99442 | <1% | 89 | 83 | $4K |
16 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | $3K |
| 90674 | <1% | 101 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 163 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 99441 | <1% | 31 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 125 | $1K |
| 90658 | <1% | 95 | $980.75 | |
| 81025 | <1% | 123 | $760.94 | |
| 87400 | <1% | 71 | $641.06 | |
| 90633 | <1% | 15 | $332.40 | |
| 95115 | <1% | 51 | $321.21 | |
| 81002 | <1% | 682 | $270.43 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 158 | $265.83 |
| 87807 | <1% | 25 | $205.29 | |
| 81001 | <1% | 207 | $159.95 | |
| 99000 | <1% | 50 | $16.89 |
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 officialFREDERICK, JAMES (ADMINISTRATION MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Elite Care Service INC. | Fayetteville, NC | $3.11M |
| J Brian Frederick, M.D., PLLC | Ashland, KY | $219K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.