Physician
East Bernstadt Medical Clinic PLLC
East Bernstadt Medical Clinic PLLC was paid $825K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoEAST BERNSTADT MEDICAL CLINIC PLLC
MCKEE, KY 40447
MCKEE, KY 40447
33aNPI1275592529assigned 03/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$825K
24GClaims49,720
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#42 of 231
Median peer was paid$77K
This provider vs. median11×
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 | 7,356 | $155K | |
| 2019 | 7,782 | $155K | |
| 2020 | 7,394 | $124K | |
| 2021 | 5,408 | $91K | |
| 2022 | 6,013 | $96K | |
| 2023 | 8,975 | $115K | |
| 2024incomplete | 6,792 | $89K |
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 | 80% | 24,603 | 18,745 | $656K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.0% | 4,304 | 2,608 | $41K |
| 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 | 4.5% | 1,282 | 991 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 2,372 | 2,032 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 376 | 293 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,255 | 546 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 183 | 154 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,135 | 2,580 | $8K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,232 | 979 | $7K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 867 | 581 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 146 | 116 | $4K |
| 99441 | <1% | 60 | 45 | $2K |
29 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 145 | $2K |
| 90756 | <1% | 28 | $488.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $422.19 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,286 | $416.65 |
| 99072 | <1% | 120 | $300.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 28 | $201.75 |
| 81001 | <1% | 121 | $86.78 | |
| 81000 | <1% | 60 | $61.37 | |
| 3008F | <1% | 1,331 | $26.29 | |
| 1160F | <1% | 1,276 | $25.19 | |
| 1159F | <1% | 1,008 | $25.19 | |
| 3074F | <1% | 953 | $4.26 | |
| 3078F | <1% | 850 | $3.60 | |
| 1126F | <1% | 513 | $2.42 | |
| 1125F | <1% | 276 | $1.03 | |
| 1170F | <1% | 227 | $0.81 | |
| 3079F | <1% | 164 | $0.78 | |
| 3075F | <1% | 76 | $0.30 | |
| 4010F | <1% | 47 | $0.02 | |
| 3080F | <1% | 15 | $0.01 | |
| 3077F | <1% | 15 | $0.01 | |
| 1101F | 0% | 296 | $0.00 | |
| 99000 | 0% | 489 | $0.00 | |
| 3048F | 0% | 16 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $0.00 |
| 4274F | 0% | 101 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 354 | $0.00 |
| 1100F | 0% | 23 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 18 | $0.00 |
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 officialJOHNSON, CARLA (BILLING/CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Annville-Ky Adult Daycare, LLC | Annville, KY | $8.83M |
| Iredell Physician Network LLC | Statesville, NC | $2.31M |
| East Bernstadt Medical Clinic PLLC | Annville, KY | $1.36M |
| East Bernstadt Medical Clinic PLLC | Manchester, KY | $874K |
| East Bernstadt Medical Clinic PLLC | London, KY | $830K |
| Iredell Physician Network LLC | Statesville, NC | $772.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.