Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BARBOURVILLE FAMILY HEALTH CENTER

NPI: 1275786071 · BARBOURVILLE, KY 40906 · Family Medicine Physician · NPI assigned 10/24/2008

$7.48M
Total Medicaid Paid
338,975
Total Claims
269,149
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARTER, RICHARD (CEO)
NPI Enumeration Date10/24/2008

Related Entities

Other providers sharing the same authorized official: CARTER, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 94,448 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 146,761 109,217 $5.21M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22,117 20,100 $413K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8,596 5,783 $250K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,314 6,254 $234K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 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 17,115 15,374 $218K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17,005 8,184 $209K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,795 2,606 $133K
90460 Immunization administration through 18 years of age via any route, first or only component 4,366 4,216 $112K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,089 3,160 $104K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,235 1,209 $79K
36415 Collection of venous blood by venipuncture 13,637 12,352 $56K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 622 601 $45K
90461 1,366 1,311 $38K
99308 Subsequent nursing facility care, per day, straightforward 1,915 1,401 $35K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 513 489 $33K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 349 315 $22K
90837 Psychotherapy, 53 minutes with patient 206 185 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 232 203 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 116 108 $7K
87807 616 583 $7K
81025 718 520 $5K
90632 63 60 $3K
90686 395 381 $2K
99173 1,519 1,473 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 118 111 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 20 $2K
G0008 Administration of influenza virus vaccine 595 564 $1K
90633 1,649 1,610 $1K
90682 31 31 $1K
99384 13 13 $911.04
0012A 12 12 $480.00
0011A 17 14 $480.00
81003 1,633 1,493 $419.21
90670 153 149 $284.11
90715 27 27 $135.62
90619 26 26 $110.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 12 $100.05
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 114 94 $51.31
90733 97 96 $50.00
86580 16 16 $48.65
3074F 19,507 16,224 $42.47
90723 28 26 $36.80
3078F 17,033 14,234 $33.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 37 37 $30.52
3079F 6,411 5,696 $23.12
3075F 2,475 2,247 $9.02
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,517 3,116 $6.98
3077F 1,380 1,204 $5.34
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,922 3,791 $1.14
G8420 Bmi is documented within normal parameters and no follow-up plan is required 967 877 $0.95
3080F 182 154 $0.76
3017F 126 117 $0.10
1170F 13 12 $0.09
1126F 13 12 $0.09
1159F 354 327 $0.06
1090F 329 305 $0.05
3016F 258 244 $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 79 74 $0.04
1158F 259 242 $0.04
1160F 309 284 $0.02
3288F 75 73 $0.01
G9902 Patient screened for tobacco use and identified as a tobacco user 338 300 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,778 1,999 $0.00
90647 26 24 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 16 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 46 43 $0.00
888888 110 107 $0.00
3755F 13 12 $0.00
1124F 13 12 $0.00