Hopkins County Health Department
Hopkins County Health Department was paid $1.50M by Medicaid between Jan 2018 and Oct 2024, across 37 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 67% of everything it billed.
MADISONVILLE, KY 42431
Next to other Public Health Dentist providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,023 | $84K | |
| 2019 | 2,198 | $67K | |
| 2020 | 2,357 | $65K | |
| 2021 | 1,379 | $46K | |
| 2022 | 6,172 | $203K | |
| 2023 | 16,242 | $542K | |
| 2024incomplete | 14,902 | $497K |
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 | 67% | 27,384 | 17,354 | $1.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,782 | 1,477 | $93K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.9% | 1,498 | 1,348 | $73K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.8% | 1,485 | 1,341 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 658 | 650 | $51K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.7% | 760 | 742 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 453 | 448 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 559 | 535 | $21K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.4% | 483 | 470 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 654 | 630 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 976 | 923 | $14K |
| 92551 | <1% | 1,313 | 1,288 | $12K |
25 more codes
| 90461 | <1% | 133 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 278 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $5K |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 922 | $5K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 931 | $4K |
| 82120 | <1% | 900 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 214 | $4K |
| 83986 | <1% | 838 | $4K | |
| 99173 | <1% | 1,637 | $3K | |
| 86803 | <1% | 188 | $3K | |
| 90651 | <1% | 427 | $2K | |
| 86780 | <1% | 232 | $2K | |
| 86703 | <1% | 68 | $722.33 | |
| 81025 | <1% | 376 | $560.40 | |
| 90734 | <1% | 90 | $274.40 | |
| 90715 | <1% | 203 | $181.72 | |
| 90633 | <1% | 54 | $147.20 | |
| 90619 | <1% | 372 | $82.09 | |
| 85018 | <1% | 32 | $47.89 | |
| 36416 | <1% | 90 | $45.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $21.00 |
| 90621 | <1% | 15 | $18.40 | |
| 90686 | <1% | 29 | $0.01 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 64 | $0.00 |
| 94760 | 0% | 58 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Hopkins County Health Department | Madisonville, KY | $229K |
| Hopkins County Health Department | Madisonville, KY | $219K |
| Hopkins County Health Department | Madisonville, KY | $214K |
| Hopkins County Health Department | Dawson Springs, KY | $161K |
| Hopkins County Health Department | Madisonville, KY | $143K |
| Hopkins County Health Department | Madisonville, KY | $135K |
| Hopkins County Health Department | Madisonville, KY | $131K |
| Hopkins County Health Department | Madisonville, KY | $129K |
| Hopkins County Health Department | Nebo, KY | $129K |
| Hopkins County Health Department | Nortonville, KY | $123K |
| Hopkins County Health Department | Madisonville, KY | $120K |
| Hopkins County Health Department | Hanson, KY | $79K |
| Denise a Beach DPM PC | Pikesville, MD | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.