Physician
East Bernstadt Medical Clinic PLLC
East Bernstadt Medical Clinic PLLC was paid $830K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoEAST BERNSTADT MEDICAL CLINIC PLLC
LONDON, KY 40741
LONDON, KY 40741
33aNPI1245299585assigned 03/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$830K
24GClaims70,736
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#77 of 352
Median peer was paid$90K
This provider vs. median9.3×
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 | 6,798 | $101K | |
| 2019 | 5,086 | $104K | |
| 2020 | 15,658 | $164K | |
| 2021 | 15,322 | $154K | |
| 2022 | 13,003 | $123K | |
| 2023 | 8,268 | $101K | |
| 2024incomplete | 6,601 | $83K |
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 | 86% | 40,121 | 26,046 | $712K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.4% | 9,395 | 4,869 | $61K |
| 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 | 2.6% | 1,294 | 864 | $21K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 8,557 | 5,809 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 127 | 82 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 772 | 522 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 571 | 214 | $4K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 500 | 290 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 211 | 132 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,389 | 1,589 | $785.59 |
| 90756 | <1% | 100 | 55 | $626.37 | |
| 99072 | <1% | 525 | 203 | $400.00 |
23 more codes
| 99441 | <1% | 36 | $349.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | $322.87 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $253.14 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 131 | $227.07 |
| 81001 | <1% | 249 | $183.63 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 17 | $81.52 |
| 81000 | <1% | 31 | $22.09 | |
| 99000 | <1% | 410 | $15.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 16 | $3.94 |
| 3008F | <1% | 1,060 | $1.86 | |
| 3074F | <1% | 602 | $1.81 | |
| 3078F | <1% | 473 | $1.49 | |
| 3079F | <1% | 276 | $0.68 | |
| 1126F | <1% | 69 | $0.44 | |
| 3075F | <1% | 98 | $0.30 | |
| 1159F | <1% | 880 | $0.22 | |
| 1160F | <1% | 907 | $0.22 | |
| 3077F | <1% | 98 | $0.19 | |
| 1125F | <1% | 14 | $0.14 | |
| 1170F | <1% | 66 | $0.09 | |
| 3080F | <1% | 34 | $0.08 | |
| 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) | 0% | 349 | $0.00 |
| 888888 | 0% | 271 | $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.
From NPPES
Who's on the registration
Authorized officialJOHNSON, CARLA (BILLING/CREDENTIALING CLERK)
| Provider | Location | Paid |
|---|---|---|
| Annville-Ky Adult Daycare, LLC | Annville, KY | $8.83M |
| Iredell Physician Network LLC | Statesville, NC | $2.31M |
| East Bernstadt Medical Clinic PLLC | Annville, KY | $1.36M |
| East Bernstadt Medical Clinic PLLC | Manchester, KY | $874K |
| East Bernstadt Medical Clinic PLLC | Mckee, KY | $825K |
| Iredell Physician Network LLC | Statesville, NC | $772.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.