Clinic
Hays, David
Hays, David was paid $24K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoHAYS, DAVID
LONDON, KY 40741
LONDON, KY 40741
33aNPI1215929997assigned 08/18/2005
33bProvider typeRural Health Clinic/Center
28Total paid$24K
24GClaims12,929
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#243 of 265
Median peer was paid$400K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 3,936 | $7K | |
| 2019 | 3,405 | $5K | |
| 2020 | 2,853 | $5K | |
| 2021 | 1,223 | $3K | |
| 2022 | 725 | $2K | |
| 2023 | 566 | $1K | |
| 2024incomplete | 221 | $20.44 |
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 | 89% | 8,567 | 6,320 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 8.4% | 1,615 | 1,044 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.3% | 216 | 178 | $312.97 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 545 | 510 | $84.38 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,116 | 1,012 | $69.29 |
| 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% | 16 | 16 | $50.33 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 102 | 86 | $6.01 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 511 | 440 | $5.20 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 14 | 12 | $1.56 |
| 3008F | 0% | 32 | 31 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | 14 | $0.00 |
| 888888 | 0% | 14 | 13 | $0.00 |
4 more codes
| 99072 | 0% | 32 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 59 | $0.00 |
| 90756 | 0% | 35 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 32 | $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.