Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › LOUISVILLE › PARK DUVALLE COMMUNITY HEALTH CENTER, INC.

PARK DUVALLE COMMUNITY HEALTH CENTER, INC.

NPI: 1245253160 · LOUISVILLE, KY 40211 · Federally Qualified Health Center (FQHC) · NPI assigned 07/25/2006

$8.23M
Total Medicaid Paid
731,784
Total Claims
634,767
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJETT, SWANNIE (CEO)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: JETT, SWANNIE

ProviderCityStateTotal Paid
PARK DUVALLE COMMUNITY HEALTH CENTER, INC. TAYLORSVILLE KY $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 90,586 $1.48M
2019 64,453 $985K
2020 78,435 $1.34M
2021 121,129 $1.33M
2022 110,762 $1.22M
2023 166,586 $1.09M
2024 99,833 $787K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,997 59,421 $2.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,439 24,330 $1.35M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,733 13,133 $316K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,566 8,668 $261K
90832 Psychotherapy, 30 minutes with patient 5,655 4,226 $198K
80050 General health panel 5,391 4,829 $188K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,207 5,558 $177K
80061 Lipid panel 17,950 16,275 $176K
90791 Psychiatric diagnostic evaluation 2,450 2,112 $166K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,010 2,825 $158K
D0330 Panoramic radiographic image 4,201 3,808 $146K
99408 9,016 8,340 $134K
D0140 Limited oral evaluation - problem focused 4,179 3,682 $127K
D0150 Comprehensive oral evaluation - new or established patient 4,461 4,015 $125K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 889 774 $95K
99442 2,466 2,218 $94K
84443 Thyroid stimulating hormone (TSH) 10,413 9,186 $93K
99173 3,701 3,515 $89K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,566 3,143 $88K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,326 13,156 $88K
80053 Comprehensive metabolic panel 11,857 10,880 $85K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,576 2,392 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,481 1,370 $83K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,429 1,364 $82K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 10,892 4,307 $81K
D0220 Intraoral - periapical first radiographic image 8,806 7,932 $65K
83036 Hemoglobin; glycosylated (A1C) 9,416 8,448 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,015 935 $62K
99490 Ccm add 20min 2,094 1,968 $62K
D0274 Bitewings - four radiographic images 3,060 2,743 $61K
99441 2,395 2,192 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,196 1,096 $59K
90792 Psychiatric diagnostic evaluation with medical services 737 638 $57K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,840 2,511 $55K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,846 1,612 $53K
90460 Immunization administration through 18 years of age via any route, first or only component 4,607 2,895 $44K
82652 1,676 1,476 $43K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 714 658 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,896 2,346 $38K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 469 438 $34K
D7140 Extraction, erupted tooth or exposed root 906 521 $32K
99439 1,232 1,173 $30K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,043 1,782 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 788 712 $29K
87806 1,049 965 $28K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 421 381 $25K
D9110 795 738 $25K
D1110 Prophylaxis - adult 733 659 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 341 311 $23K
99443 537 466 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 289 263 $22K
82607 2,164 1,894 $22K
D0230 Intraoral - periapical each additional radiographic image 4,955 3,872 $21K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 2,054 1,882 $17K
84703 2,793 2,522 $17K
81001 8,505 7,523 $17K
90670 1,048 974 $17K
99386 281 254 $16K
87210 3,928 3,588 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,201 1,281 $14K
82947 6,000 5,303 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent 358 182 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,305 1,172 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,085 937 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 221 159 $11K
86703 885 787 $9K
36415 Collection of venous blood by venipuncture 8,416 7,265 $9K
81003 7,705 6,948 $8K
90461 2,608 1,874 $8K
99174 549 526 $8K
92551 804 764 $7K
84153 584 532 $7K
82570 1,848 1,695 $7K
81025 1,041 895 $7K
86592 1,753 1,604 $6K
99406 1,156 1,053 $6K
96127 2,336 2,058 $5K
99215 Prolong outpt/office vis 95 86 $5K
84439 857 727 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 338 300 $5K
99177 1,965 1,818 $4K
90633 803 772 $4K
99385 57 55 $4K
97802 1,057 979 $4K
99383 58 57 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 200 186 $4K
0012A 132 130 $4K
82043 865 800 $4K
0001A 187 155 $4K
90649 203 198 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 207 142 $3K
D4341 73 38 $3K
90647 431 397 $3K
82948 757 683 $3K
92552 358 340 $3K
0002A 94 93 $3K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 608 170 $3K
0011A 127 110 $3K
87340 400 374 $3K
90680 373 342 $3K
90658 446 425 $3K
82962 1,115 1,009 $3K
85027 449 394 $2K
81002 2,304 2,137 $2K
90688 174 167 $2K
96160 2,369 2,052 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 90 82 $2K
99188 149 142 $2K
D0210 Intraoral - complete series of radiographic images 41 31 $2K
80074 85 67 $2K
82274 132 117 $2K
99195 189 163 $2K
90845 53 44 $2K
90674 82 80 $1K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 35 12 $1K
90716 124 124 $1K
91320 16 12 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 15 $981.35
90707 80 80 $968.31
84436 220 190 $964.60
90723 156 144 $946.40
90472 Immunization administration, each additional vaccine (list separately) 224 204 $884.15
90686 362 322 $883.89
90734 342 311 $873.67
86803 76 67 $853.98
87070 85 74 $674.80
90715 195 184 $645.96
36416 253 237 $619.52
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $551.58
0064A 14 13 $520.00
86580 94 73 $511.18
87430 35 33 $508.52
99447 13 13 $479.97
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 57 19 $479.27
99381 16 13 $471.48
99384 14 13 $437.96
0031A 15 14 $385.00
90657 60 56 $377.86
87081 63 55 $349.71
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $313.82
90656 17 17 $311.56
90480 16 12 $310.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $283.90
99446 28 27 $281.17
93000 14 14 $266.91
90651 285 255 $253.79
87088 48 47 $250.88
84481 15 15 $224.47
98967 14 13 $198.30
86403 26 19 $197.72
90473 59 55 $189.79
82746 18 14 $149.94
98960 16,596 13,157 $122.61
96156 41 33 $117.92
97803 90 74 $110.18
3074F 28,270 24,960 $106.80
98966 14 13 $103.40
84480 16 16 $94.40
1160F 57,783 48,955 $77.51
81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification 31 28 $75.00
99000 11,117 9,784 $71.21
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 11,959 9,112 $67.14
D0180 308 214 $66.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 29 25 $54.05
82950 17 13 $52.41
90834 Psychotherapy, 45 minutes with patient 16 12 $51.33
1126F 53,636 47,336 $48.65
90744 24 24 $48.44
3008F 37,336 32,897 $45.09
3078F 23,322 20,652 $42.86
1159F 19,921 16,657 $36.92
3079F 14,812 13,223 $30.63
3077F 9,410 8,305 $19.45
G0444 Annual depression screening, 5 to 15 minutes 6,864 6,000 $17.97
1125F 19,368 17,010 $15.60
3080F 5,666 5,021 $12.82
3075F 5,704 5,180 $12.27
1036F 5,753 5,180 $6.97
3044F 1,643 1,459 $4.93
0521F 5,831 4,904 $2.81
3048F 1,536 1,394 $1.98
2014F 1,716 1,640 $0.94
99407 116 89 $0.71
91300 460 370 $0.27
3049F 291 261 $0.13
3085F 395 347 $0.11
91301 411 370 $0.05
91307 20 20 $0.02
3061F 33 28 $0.02
90671 88 80 $0.01
91306 23 21 $0.01
4004F 340 332 $0.00
2028F 58 56 $0.00
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 30 24 $0.00
90687 20 20 $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) 103 92 $0.00
90713 25 25 $0.00
90710 22 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,351 2,167 $0.00
1034F 1,236 1,085 $0.00
3120F 49 44 $0.00
90620 43 35 $0.00
90677 129 127 $0.00
90697 38 36 $0.00
D9995 164 149 $0.00
90660 17 16 $0.00
90696 20 14 $0.00
99090 73 70 $0.00