Clinic
Means Adult Primary Care Clinic of Kentucky PLLC
Means Adult Primary Care Clinic of Kentucky PLLC was paid $2.47M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1205935814assigned 09/21/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.47M
24GClaims80,860
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#24 of 265
Median peer was paid$400K
This provider vs. median6.2×
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 | 14,474 | $394K | |
| 2019 | 12,899 | $400K | |
| 2020 | 10,070 | $339K | |
| 2021 | 11,374 | $371K | |
| 2022 | 12,285 | $387K | |
| 2023 | 11,506 | $345K | |
| 2024incomplete | 8,252 | $236K |
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 | 49% | 42,564 | 33,304 | $1.20M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 9,414 | 3,551 | $298K |
| 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 | 12% | 7,737 | 6,350 | $284K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 2,838 | 2,351 | $169K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.5% | 5,003 | 4,827 | $161K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 4.3% | 1,392 | 1,170 | $106K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 1,844 | 992 | $82K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.3% | 2,225 | 1,844 | $82K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 364 | 310 | $28K |
| 80305 | <1% | 2,378 | 1,356 | $24K | |
| 99220 | <1% | 95 | 85 | $8K | |
| 99307 | <1% | 643 | 551 | $7K |
33 more codes
| 99490 | Ccm add 20min | <1% | 942 | $4K |
| 90961 | <1% | 48 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $2K |
| 99217 | <1% | 45 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 58 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 45 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 26 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 64 | $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 | <1% | 60 | $942.31 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 76 | $600.00 |
| 90688 | <1% | 70 | $478.32 | |
| 99318 | <1% | 13 | $392.60 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 37 | $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 | <1% | 18 | $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) | <1% | 25 | $35.10 |
| 81003 | <1% | 18 | $5.54 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 842 | $2.48 |
| 1036F | <1% | 55 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 409 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 496 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 65 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 34 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 46 | $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) | 0% | 27 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 32 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 73 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 436 | $0.00 |
| 3008F | 0% | 83 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 55 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 20 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 19 | $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) | 0% | 70 | $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 officialBUTROS, REZKALLA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Means Adult Primary Care Clinic of Kentucky PLLC | Winchester, KY | $412K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.