Pineville Community Health Center INC
Pineville Community Health Center INC was paid $10K by Medicaid between Nov 2019 and Mar 2022, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 38% of everything it billed.
PINEVILLE, KY 40977
Next to other Nurse Practitioner providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 141 | $223.37 | |
| 2020 | 1,022 | $7K | |
| 2021 | 692 | $3K | |
| 2022 | 29 | $18.59 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 38% | 602 | 434 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 613 | 466 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 14% | 495 | 377 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 131 | 106 | $703.98 |
| 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 | 6.2% | 14 | 12 | $595.02 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 29 | 24 | $18.59 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pineville Community Health Center INC | Pineville, KY | $7.49M |
| Pineville Community Health Center INC | Pineville, KY | $3.65M |
| Pineville Community Hospital Association, INC. | Pineville, KY | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.