Duran Healthcare PLLC

Duran Healthcare PLLC was paid $34K by Medicaid between Dec 2020 and Aug 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoDURAN HEALTHCARE PLLC
FLORENCE, KY 41042

33aNPI1245850148assigned 04/21/2020

33bProvider typeFamily Nurse Practitioner

28Total paid$34K

24GClaims760

24DCodes billed4

24AFirst – last monthDec 2020 – Aug 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#177 of 424

Median peer was paid$19K

This provider vs. median1.8×

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
2020	14	$1K
2021	337	$16K
2022	409	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	522	419	$21K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	30%	135	126	$10K
87428		5.2%	29	27	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.7%	74	65	$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.

From NPPES

Who's on the registration

Authorized officialVANWAY, ANA (OWNER)