Supplier
Pikeville Medical Center INC.
Pikeville Medical Center INC. was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 27% of everything it billed.
33Billing provider infoPIKEVILLE MEDICAL CENTER INC.
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1194967109assigned 04/06/2009
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$1.25M
24GClaims58,022
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Kentucky
Rank by total paid#7 of 21
Median peer was paid$410K
This provider vs. median3.1×
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 | 6,401 | $177K | |
| 2019 | 7,009 | $150K | |
| 2020 | 8,102 | $158K | |
| 2021 | 8,626 | $155K | |
| 2022 | 7,914 | $161K | |
| 2023 | 10,466 | $228K | |
| 2024incomplete | 9,504 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 27% | 8,989 | 7,994 | $343K |
| E0601 | Continuous positive airway pressure (cpap) device | 11% | 3,761 | 3,526 | $143K |
| E0570 | Nebulizer, with compressor | 9.2% | 3,377 | 2,902 | $115K |
| A7031 | Face mask interface, replacement for full face mask, each | 7.6% | 3,460 | 3,275 | $95K |
| A7030 | Full face mask used with positive airway pressure device, each | 7.0% | 1,770 | 1,605 | $88K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 3.9% | 2,295 | 2,003 | $48K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 3.8% | 1,707 | 1,543 | $47K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.7% | 5,162 | 4,618 | $47K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.7% | 4,473 | 4,124 | $47K |
| K0001 | Standard wheelchair | 3.0% | 3,641 | 3,179 | $38K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | 2.5% | 1,057 | 945 | $31K |
| A7037 | Tubing used with positive airway pressure device | 2.4% | 3,214 | 3,015 | $30K |
22 more codes
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | 2.2% | 246 | $28K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 2.2% | 438 | $27K |
| A7035 | Headgear used with positive airway pressure device | 2.0% | 1,897 | $25K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.4% | 5,694 | $18K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.1% | 407 | $14K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 1.0% | 69 | $13K |
| A6238 | Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | <1% | 210 | $12K |
| E1392 | Portable oxygen concentrator, rental | <1% | 872 | $11K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 1,052 | $10K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,380 | $6K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 106 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,768 | $4K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 443 | $3K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 105 | $3K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 48 | $1K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 154 | $1K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 12 | $431.28 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 14 | $379.30 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 46 | $173.80 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 117 | $138.08 |
| E0156 | Seat attachment, walker | <1% | 12 | $96.91 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 26 | $34.37 |
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 officialHAGY, MICHELLE (CFO)
Parent organizationPIKEVILLE MEDICAL CENTER INC.
| Provider | Location | Paid |
|---|---|---|
| Pikeville Medical Center INC | Pikeville, KY | $181.38M |
| Pikeville Medical Center INC. | Pikeville, KY | $34.42M |
| Pikeville Medical Center INC. | Pikeville, KY | $809K |
| Pikeville Medical Center, INC. (Pikeville Family Practice Clinic) | Pikeville, KY | $424K |
| Pikeville Medical Center INC | Pikeville, KY | $160K |
| Pikeville Medical Center INC | Pikeville, KY | $155K |
| Pikeville Medical Center, INC. | Pikeville, KY | $62K |
| Pikeville Medical Center, INC. | Grundy, VA | $749.26 |
| Pikeville Medical Center, INC. | Pikeville, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.