Physician
Appalachian Primary Care LLC
Appalachian Primary Care LLC was paid $350K by Medicaid between Jan 2018 and Apr 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoAPPALACHIAN PRIMARY CARE LLC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1265971782assigned 02/16/2017
33bProvider typeFamily Medicine Physician
28Total paid$350K
24GClaims11,715
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#108 of 352
Median peer was paid$90K
This provider vs. median3.9×
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 | 10,056 | $284K | |
| 2019 | 1,659 | $66K |
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 | 44% | 5,048 | 3,676 | $153K |
| 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 | 42% | 3,656 | 3,025 | $148K |
| 94060 | 2.9% | 304 | 278 | $10K | |
| 93922 | 2.2% | 177 | 167 | $8K | |
| 76775 | 1.8% | 120 | 112 | $6K | |
| 93000 | 1.4% | 299 | 280 | $5K | |
| 80305 | 1.1% | 539 | 494 | $4K | |
| 99406 | 1.0% | 246 | 219 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 612 | 548 | $3K |
| 99173 | <1% | 249 | 215 | $3K | |
| 97014 | <1% | 381 | 326 | $3K | |
| 93308 | <1% | 37 | 36 | $2K |
3 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $519.36 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $220.74 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 15 | $8.19 |
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 officialMAZUMDER, MOHAMMED (PRESIDENT)