Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Adams, John

Adams, John was paid $6K by Medicaid between Jan 2018 and May 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoADAMS, JOHN
FRANKLIN, KY 42134
33aNPI1285736595assigned 09/05/2006
28Total paid$6K
24GClaims432
24DCodes billed7
24AFirst – last monthJan 2018 – May 2018
Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#296 of 352
Median peer was paid$90K
This provider vs. median0.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018432$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 150 122 $3K
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% 73 60 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.4% 70 64 $141.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.3% 17 12 $131.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 17 15 $95.67
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 13 12 $64.92
36415 Collection of venous blood by venipuncture <1% 92 81 $20.48

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.