Bluegrass Primary Health Care Center, INC.

Bluegrass Primary Health Care Center, INC. was paid $2.71M by Medicaid between Apr 2020 and Nov 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoBLUEGRASS PRIMARY HEALTH CARE CENTER, INC.
LEXINGTON, KY 40504

33aNPI1215567474assigned 01/16/2020

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$2.71M

24GClaims167,900

24DCodes billed85

24AFirst – last monthApr 2020 – Nov 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Kentucky

Rank by total paid#14 of 37

Median peer was paid$1.29M

This provider vs. median2.1×

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

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	39%	31,400	27,316	$1.04M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	14%	4,982	3,527	$367K
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	11%	5,605	5,093	$296K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	7.0%	5,034	4,272	$190K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.9%	8,027	7,225	$132K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	5,702	4,642	$130K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	4.3%	2,262	1,939	$117K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.6%	1,151	1,111	$99K
80305		2.4%	7,626	5,934	$66K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.2%	2,716	2,442	$33K
90472	Immunization administration, each additional vaccine (list separately)	1.2%	2,400	2,186	$32K
90686		<1%	3,038	2,816	$26K

73 more codes

99385		<1%	308	$20K
81025		<1%	3,071	$18K
90715		<1%	678	$14K
99490	Ccm add 20min	<1%	355	$12K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	278	$10K
99203	Doctor's office visit, new patient (routine)	<1%	181	$9K
92551		<1%	940	$7K
99188		<1%	610	$7K
99204	Doctor's office visit, new patient (more involved)	<1%	94	$7K
36415	Collection of venous blood by venipuncture	<1%	1,485	$6K
90480		<1%	219	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	243	$6K
G0467	Community health center visit, returning patient	<1%	645	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	229	$5K
0012A		<1%	147	$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	<1%	635	$4K
0011A		<1%	133	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	41	$3K
90713		<1%	226	$3K
99173		<1%	298	$3K
91322		<1%	30	$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	<1%	223	$2K
0031A		<1%	76	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	148	$2K
90656		<1%	246	$2K
90716		<1%	191	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	303	$2K
81003		<1%	1,270	$2K
82274		<1%	120	$1K
99177		<1%	703	$1K
99383		<1%	14	$876.59
99386		<1%	14	$875.30
87428		<1%	24	$839.99
82044		<1%	189	$721.12
99354		<1%	22	$670.76
90746		<1%	14	$492.60
98960		<1%	31	$428.11
0064A		<1%	15	$360.00
90714		<1%	34	$289.58
90677		<1%	13	$288.70
90633		<1%	308	$140.44
87400		<1%	16	$92.74
98962		<1%	27	$88.33
J2315	Injection, naltrexone, depot form, 1 mg	<1%	1,922	$43.56
99408		<1%	98	$33.19
82962		<1%	14	$30.34
3008F		<1%	32,321	$18.22
90744		<1%	27	$18.17
96127		<1%	216	$16.64
97802		<1%	1,511	$7.08
2010F		<1%	14,992	$4.82
3074F		<1%	2,846	$2.51
3078F		<1%	2,207	$1.48
3079F		<1%	871	$1.18
1160F		<1%	6,203	$0.75
1159F		<1%	5,957	$0.71
3077F		<1%	348	$0.53
3080F		<1%	209	$0.30
1003F		<1%	1,529	$0.15
3075F		<1%	117	$0.13
H0049	Alcohol and/or drug screening	<1%	16	$0.11
1000F		<1%	223	$0.08
1170F		<1%	27	$0.07
3351F		0%	771	$0.00
1220F		0%	126	$0.00
91301		0%	13	$0.00
4000F		0%	227	$0.00
4050F		0%	12	$0.00
3352F		0%	13	$0.00
91303		0%	74	$0.00
0513F		0%	32	$0.00
90863		0%	175	$0.00
90670		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 officialCHOWDHURY, ENAYET (CHIEF EXECUTIVE OFFICER)