Clinic
Breckinridge Health, INC.
Breckinridge Health, INC. was paid $251K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoBRECKINRIDGE HEALTH, INC.
CLOVERPORT, KY 40111
CLOVERPORT, KY 40111
33aNPI1245236900assigned 06/27/2005
33bProvider typeClinic/Center
28Total paid$251K
24GClaims11,318
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#20 of 42
Median peer was paid$224K
This provider vs. median1.1×
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 | 1,924 | $47K | |
| 2019 | 1,484 | $36K | |
| 2020 | 1,409 | $32K | |
| 2021 | 1,517 | $37K | |
| 2022 | 1,749 | $36K | |
| 2023 | 2,057 | $38K | |
| 2024incomplete | 1,178 | $25K |
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 | 77% | 6,491 | 5,282 | $193K |
| 87428 | 12% | 835 | 695 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 336 | 294 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 323 | 244 | $3K |
| 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 | 1.3% | 83 | 75 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 2,216 | 1,906 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 200 | 90 | $3K |
| 99441 | 1.0% | 185 | 156 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 173 | 163 | $2K |
| 90688 | <1% | 94 | 87 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 14 | $1K |
| 81003 | <1% | 282 | 250 | $366.76 |
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 officialBUTLER, MANDY (NURSE PRACTITIONER)
Parent organizationBRECKINRIDGE HEALTH, INC.