Physician
Barbourville Family Health Center
Barbourville Family Health Center was paid $7.48M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoBARBOURVILLE FAMILY HEALTH CENTER
BARBOURVILLE, KY 40906
BARBOURVILLE, KY 40906
33aNPI1275786071assigned 10/24/2008
33bProvider typeFamily Medicine Physician
28Total paid$7.48M
24GClaims338,975
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#8 of 352
Median peer was paid$90K
This provider vs. median84×
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 | 20,169 | $528K | |
| 2019 | 19,309 | $529K | |
| 2020 | 32,842 | $1.34M | |
| 2021 | 56,900 | $1.22M | |
| 2022 | 48,194 | $1.05M | |
| 2023 | 67,113 | $1.30M | |
| 2024incomplete | 94,448 | $1.52M |
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 | 70% | 146,761 | 109,217 | $5.21M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.5% | 22,117 | 20,100 | $413K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.3% | 8,596 | 5,783 | $250K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 8,314 | 6,254 | $234K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 18,156 | 16,971 | $224K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.9% | 17,115 | 15,374 | $218K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 17,005 | 8,184 | $209K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 2,795 | 2,606 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 4,366 | 4,216 | $112K |
| 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 | 1.4% | 4,089 | 3,160 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 1,235 | 1,209 | $79K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,637 | 12,352 | $56K |
58 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 622 | $45K |
| 90461 | <1% | 1,366 | $38K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,915 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 513 | $33K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 349 | $22K |
| 90837 | Psychotherapy session, about an hour | <1% | 206 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 232 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 116 | $7K |
| 87807 | <1% | 616 | $7K | |
| 81025 | <1% | 718 | $5K | |
| 90632 | <1% | 63 | $3K | |
| 90686 | <1% | 395 | $2K | |
| 99173 | <1% | 1,519 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 595 | $1K |
| 90633 | <1% | 1,649 | $1K | |
| 90682 | <1% | 31 | $1K | |
| 99384 | <1% | 13 | $911.04 | |
| 0012A | <1% | 12 | $480.00 | |
| 0011A | <1% | 17 | $480.00 | |
| 81003 | <1% | 1,633 | $419.21 | |
| 90670 | <1% | 153 | $284.11 | |
| 90715 | <1% | 27 | $135.62 | |
| 90619 | <1% | 26 | $110.25 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $100.05 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 114 | $51.31 |
| 90733 | <1% | 97 | $50.00 | |
| 86580 | <1% | 16 | $48.65 | |
| 3074F | <1% | 19,507 | $42.47 | |
| 90723 | <1% | 28 | $36.80 | |
| 3078F | <1% | 17,033 | $33.67 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 37 | $30.52 |
| 3079F | <1% | 6,411 | $23.12 | |
| 3075F | <1% | 2,475 | $9.02 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 3,517 | $6.98 |
| 3077F | <1% | 1,380 | $5.34 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,922 | $1.14 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 967 | $0.95 |
| 3080F | <1% | 182 | $0.76 | |
| 3017F | <1% | 126 | $0.10 | |
| 1170F | <1% | 13 | $0.09 | |
| 1126F | <1% | 13 | $0.09 | |
| 1159F | <1% | 354 | $0.06 | |
| 1090F | <1% | 329 | $0.05 | |
| 3016F | <1% | 258 | $0.05 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 79 | $0.04 |
| 1158F | <1% | 259 | $0.04 | |
| 1160F | <1% | 309 | $0.02 | |
| 3288F | <1% | 75 | $0.01 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 338 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,778 | $0.00 |
| 90647 | 0% | 26 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 46 | $0.00 |
| 888888 | 0% | 110 | $0.00 | |
| 3755F | 0% | 13 | $0.00 | |
| 1124F | 0% | 13 | $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 officialCARTER, RICHARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Presence Central and Suburban Hospitals Network | Joliet, IL | $4.82M |
| Hunt Regional Urgent Care | Greenville, TX | $907K |
| Presence Central and Suburban Hospitals Network | Aurora, IL | $810K |
| Presence Central and Suburban Hospitals Network | Elgin, IL | $620K |
| Hunt Regional Medical Partners | Greenville, TX | $140K |
| Presence Central and Suburban Hospitals Network | Danville, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.