Clinic
Caldwell County Hospital INC
Caldwell County Hospital INC was paid $72K by Medicaid between Jun 2020 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCALDWELL COUNTY HOSPITAL INC
FREDONIA, KY 42411
FREDONIA, KY 42411
33aNPI1265076947assigned 11/05/2019
33bProvider typeRural Health Clinic/Center
28Total paid$72K
24GClaims2,753
24DCodes billed7
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#217 of 265
Median peer was paid$400K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 519 | $14K | |
| 2021 | 1,054 | $28K | |
| 2022 | 568 | $16K | |
| 2023 | 392 | $9K | |
| 2024incomplete | 220 | $6K |
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 | 75% | 1,910 | 1,613 | $54K |
| 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 | 13% | 252 | 217 | $10K |
| 99307 | 7.3% | 406 | 405 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 88 | 71 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 51 | 42 | $860.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | 26 | $286.44 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 12 | $160.34 |
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 officialCARPENTER, TERESA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Caldwell County Hospital, INC | Princeton, KY | $16.36M |
| Caldwell County Hospital INC | Princeton, KY | $548K |
| Caldwell County Hospital, INC | Princeton, KY | $450K |
| Caldwell County Hospital, INC | Princeton, KY | $252K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.