Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC

NPI: 1205935814 · MT STERLING, KY 40353 · Rural Health Clinic/Center · NPI assigned 09/21/2006

$2.47M
Total Medicaid Paid
80,860
Total Claims
60,490
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUTROS, REZKALLA (OWNER)
NPI Enumeration Date09/21/2006

Related Entities

Other providers sharing the same authorized official: BUTROS, REZKALLA

ProviderCityStateTotal Paid
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC WINCHESTER KY $412K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,474 $394K
2019 12,899 $400K
2020 10,070 $339K
2021 11,374 $371K
2022 12,285 $387K
2023 11,506 $345K
2024 8,252 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 42,564 33,304 $1.20M
99233 Prolong inpt eval add15 m 9,414 3,551 $298K
99214 7,737 6,350 $284K
99223 Prolong inpt eval add15 m 2,838 2,351 $169K
99308 5,003 4,827 $161K
90960 1,392 1,170 $106K
90832 1,844 992 $82K
99239 2,225 1,844 $82K
99204 364 310 $28K
80305 2,378 1,356 $24K
99220 95 85 $8K
99307 643 551 $7K
99490 Ccm add 20min 942 656 $4K
90961 48 38 $3K
99203 42 40 $2K
99217 45 42 $2K
87811 58 53 $2K
99306 Prolong nursin fac eval 15m 45 45 $2K
90834 26 19 $1K
99309 64 51 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 60 49 $942.31
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 76 61 $600.00
90688 70 68 $478.32
99318 13 13 $392.60
99232 37 15 $152.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 18 12 $66.99
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 25 15 $35.10
81003 18 15 $5.54
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 842 777 $2.48
1036F 55 54 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg 409 384 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 496 473 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 65 62 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 34 33 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 46 37 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 27 26 $0.00
G8482 Influenza immunization administered or previously received 32 32 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 73 70 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 436 412 $0.00
3008F 83 77 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 55 54 $0.00
G0008 Administration of influenza virus vaccine 14 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 20 20 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 19 16 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 70 68 $0.00