Physician
Rockcastle County Hospital, INC.
Rockcastle County Hospital, INC. was paid $2.04M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoROCKCASTLE COUNTY HOSPITAL, INC.
MOUNT VERNON, KY 40456
MOUNT VERNON, KY 40456
33aNPI1205177912assigned 03/05/2013
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.04M
24GClaims59,652
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Kentucky
Rank by total paid#4 of 10
Median peer was paid$878K
This provider vs. median2.3×
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 | 9,542 | $286K | |
| 2019 | 8,751 | $271K | |
| 2020 | 6,522 | $240K | |
| 2021 | 8,065 | $270K | |
| 2022 | 9,447 | $347K | |
| 2023 | 9,900 | $349K | |
| 2024incomplete | 7,425 | $279K |
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 | 47% | 25,769 | 23,613 | $961K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,419 | 3,296 | $222K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 2,315 | 2,272 | $164K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.7% | 3,743 | 3,552 | $116K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.4% | 1,334 | 1,267 | $110K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 6,318 | 6,122 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 1,453 | 1,413 | $81K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.4% | 4,130 | 4,006 | $70K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 543 | 532 | $45K |
| 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 | 1.9% | 689 | 653 | $40K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 734 | 701 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,819 | 1,735 | $25K |
28 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 911 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 607 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 513 | $9K |
| 0001A | <1% | 143 | $5K | |
| 90633 | <1% | 1,650 | $5K | |
| 90670 | <1% | 1,259 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 232 | $4K |
| 87634 | <1% | 59 | $3K | |
| 0002A | <1% | 75 | $3K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 114 | $2K |
| 87807 | <1% | 118 | $1K | |
| 90671 | <1% | 221 | $1K | |
| 90686 | <1% | 373 | $665.66 | |
| 0072A | <1% | 16 | $616.00 | |
| 0071A | <1% | 12 | $480.00 | |
| 90680 | <1% | 242 | $421.10 | |
| 90648 | <1% | 285 | $420.22 | |
| 83655 | <1% | 12 | $189.00 | |
| 90710 | <1% | 42 | $157.64 | |
| 90651 | <1% | 46 | $40.89 | |
| 90658 | <1% | 99 | $40.22 | |
| 90734 | <1% | 14 | $39.60 | |
| 90698 | <1% | 126 | $33.00 | |
| 90723 | <1% | 27 | $33.00 | |
| 90677 | 0% | 125 | $0.00 | |
| 90744 | 0% | 26 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| 90697 | 0% | 13 | $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 officialBLACK, CHARLES (CFO)