Kentucky River District Health Department
Kentucky River District Health Department was paid $233K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 89% of everything it billed.
EMMALENA, KY 41740
Next to other Public Health or Welfare Agency 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 | 644 | $25K | |
| 2019 | 1,107 | $44K | |
| 2020 | 385 | $15K | |
| 2021 | 480 | $19K | |
| 2022 | 603 | $25K | |
| 2023 | 1,463 | $60K | |
| 2024incomplete | 1,166 | $46K |
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 | 89% | 5,290 | 2,636 | $208K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 362 | 310 | $22K |
| D1206 | Topical application of fluoride varnish | 1.2% | 178 | 145 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | 15 | $1K |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.