Clinic
Memorial Hospital, INC.
Memorial Hospital, INC. was paid $880K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL, INC.
BARBOURVILLE, KY 40906
BARBOURVILLE, KY 40906
33aNPI1255504700assigned 04/04/2008
33bProvider typeRural Health Clinic/Center
28Total paid$880K
24GClaims31,342
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#68 of 265
Median peer was paid$400K
This provider vs. median2.2×
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 | 4,151 | $110K | |
| 2019 | 3,102 | $82K | |
| 2020 | 4,258 | $136K | |
| 2021 | 5,894 | $148K | |
| 2022 | 5,672 | $160K | |
| 2023 | 4,909 | $139K | |
| 2024incomplete | 3,356 | $105K |
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 | 79% | 25,165 | 19,724 | $691K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 8.1% | 2,427 | 1,910 | $71K |
| 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 | 6.8% | 1,642 | 1,248 | $60K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.9% | 422 | 367 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 653 | 593 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 489 | 429 | $5K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 108 | 100 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 47 | 41 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 96 | 89 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 47 | 44 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | 106 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | 37 | $1K |
4 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $351.03 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 38 | $12.95 |
| 81003 | <1% | 14 | $8.89 |
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 officialBEJARANO, NICHOLAS (CEO)