Medicaid Provider Spending

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

BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.

NPI: 1215567474 · LEXINGTON, KY 40504 · Federally Qualified Health Center (FQHC) · NPI assigned 01/16/2020

$2.71M
Total Medicaid Paid
167,900
Total Claims
145,523
Beneficiaries
85
Codes Billed
2020-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHOWDHURY, ENAYET (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14,136 $322K
2021 32,144 $550K
2022 27,904 $522K
2023 41,179 $639K
2024 52,537 $673K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,400 27,316 $1.04M
90837 Psychotherapy, 53 minutes with patient 4,982 3,527 $367K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,605 5,093 $296K
90832 Psychotherapy, 30 minutes with patient 5,034 4,272 $190K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,027 7,225 $132K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,702 4,642 $130K
90834 Psychotherapy, 45 minutes with patient 2,262 1,939 $117K
90791 Psychiatric diagnostic evaluation 1,151 1,111 $99K
80305 7,626 5,934 $66K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,716 2,442 $33K
90472 Immunization administration, each additional vaccine (list separately) 2,400 2,186 $32K
90686 3,038 2,816 $26K
99385 308 287 $20K
81025 3,071 2,566 $18K
90715 678 636 $14K
99490 Ccm add 20min 355 353 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 278 250 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 181 173 $9K
92551 940 752 $7K
99188 610 585 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 94 87 $7K
36415 Collection of venous blood by venipuncture 1,485 1,352 $6K
90480 219 208 $6K
90853 Group psychotherapy (other than of a multiple-family group) 243 221 $6K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 645 210 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 229 217 $5K
0012A 147 138 $5K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 635 467 $4K
0011A 133 111 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 41 $3K
90713 226 210 $3K
99173 298 295 $3K
91322 30 27 $2K
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 223 212 $2K
0031A 76 75 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 148 131 $2K
90656 246 243 $2K
90716 191 173 $2K
83036 Hemoglobin; glycosylated (A1C) 303 279 $2K
81003 1,270 1,200 $2K
82274 120 102 $1K
99177 703 674 $1K
99383 14 14 $876.59
99386 14 12 $875.30
87428 24 20 $839.99
82044 189 167 $721.12
99354 22 20 $670.76
90746 14 14 $492.60
98960 31 27 $428.11
0064A 15 13 $360.00
90714 34 31 $289.58
90677 13 13 $288.70
90633 308 291 $140.44
87400 16 13 $92.74
98962 27 26 $88.33
J2315 Injection, naltrexone, depot form, 1 mg 1,922 1,743 $43.56
99408 98 95 $33.19
82962 14 12 $30.34
3008F 32,321 27,923 $18.22
90744 27 25 $18.17
96127 216 195 $16.64
97802 1,511 1,375 $7.08
2010F 14,992 13,095 $4.82
3074F 2,846 2,514 $2.51
3078F 2,207 1,977 $1.48
3079F 871 787 $1.18
1160F 6,203 5,467 $0.75
1159F 5,957 5,251 $0.71
3077F 348 319 $0.53
3080F 209 190 $0.30
1003F 1,529 1,408 $0.15
3075F 117 108 $0.13
H0049 Alcohol and/or drug screening 16 14 $0.11
1000F 223 211 $0.08
1170F 27 24 $0.07
3351F 771 722 $0.00
1220F 126 120 $0.00
91301 13 13 $0.00
4000F 227 206 $0.00
4050F 12 12 $0.00
3352F 13 13 $0.00
91303 74 74 $0.00
0513F 32 26 $0.00
90863 175 152 $0.00
90670 13 13 $0.00