Pike County Health Department-Pikeville High School

Pike County Health Department-Pikeville High School was paid $171K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 100% of everything it billed.

33Billing provider infoPIKE COUNTY HEALTH DEPARTMENT-PIKEVILLE HIGH SCHOOL
PIKEVILLE, KY 41501

33aNPI1225288871assigned 09/19/2008

33bProvider typePublic Health or Welfare Agency

28Total paid$171K

24GClaims4,458

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#111 of 318

Median peer was paid$102K

This provider vs. median1.7×

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	834	$33K
2019	824	$32K
2020	309	$12K
2021	469	$16K
2022	717	$27K
2023	669	$26K
2024incomplete	636	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	100%	4,421	2,181	$171K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	37	18	$658.08

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 officialRILEY, TAMMY (PUBLIC HEALTH DIRECTOR II)

Parent organizationPIKE COUNTY HEALTH DEPARTMENT

Same official

Other billing entities under RILEY, TAMMY

Full network →

Provider	Location	Paid
Pike County Health Department-Dental	Pikeville, KY	$195K
Pike County Health Department-Pikeville Elementary School	Pikeville, KY	$185K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.