Physician
Primary Care Medical Center INC
Primary Care Medical Center INC was paid $3.69M by Medicaid between Jan 2018 and Jul 2020, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPRIMARY CARE MEDICAL CENTER INC
MURRAY, KY 42071
MURRAY, KY 42071
33aNPI1295716694assigned 11/11/2005
33bProvider typeInternal Medicine Physician
28Total paid$3.69M
24GClaims162,643
24DCodes billed93
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#7 of 231
Median peer was paid$77K
This provider vs. median48×
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 | 82,058 | $1.91M | |
| 2019 | 64,880 | $1.38M | |
| 2020 | 15,705 | $388K |
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 | 49% | 51,948 | 43,853 | $1.81M |
| 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 | 13% | 8,931 | 8,058 | $471K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 9,692 | 5,100 | $162K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.1% | 15,913 | 14,344 | $150K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 1,671 | 1,471 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 1,194 | 1,133 | $87K |
| 87430 | 2.2% | 5,516 | 5,189 | $83K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 2,829 | 2,713 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 929 | 902 | $69K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 4,225 | 3,718 | $61K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 6,376 | 5,794 | $52K |
| 80076 | <1% | 3,172 | 2,936 | $34K |
81 more codes
| 90461 | <1% | 1,314 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 397 | $33K |
| 80061 | Lipid panel | <1% | 2,375 | $31K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,604 | $30K |
| 76830 | Ultrasound, transvaginal | <1% | 509 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 888 | $25K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,914 | $22K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 486 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 893 | $20K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 425 | $20K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 295 | $18K |
| 81001 | <1% | 4,792 | $15K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 824 | $15K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 519 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 175 | $13K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 922 | $13K |
| 84702 | <1% | 611 | $12K | |
| 83655 | <1% | 708 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,323 | $10K |
| 87807 | <1% | 708 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 164 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 137 | $8K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 268 | $8K |
| 99051 | <1% | 824 | $7K | |
| 90686 | <1% | 693 | $7K | |
| 76801 | <1% | 112 | $7K | |
| 84439 | <1% | 677 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,376 | $6K |
| 59025 | Fetal non-stress test | <1% | 240 | $6K |
| 84703 | <1% | 572 | $6K | |
| 92551 | <1% | 423 | $5K | |
| 93000 | <1% | 219 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 153 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 295 | $4K |
| 59430 | <1% | 119 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 306 | $4K |
| 87220 | <1% | 670 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 77 | $4K |
| 99050 | <1% | 136 | $3K | |
| 97802 | <1% | 394 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $2K |
| 96127 | <1% | 642 | $2K | |
| 90670 | <1% | 700 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 25 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 29 | $1K |
| 94060 | <1% | 29 | $1K | |
| 99188 | <1% | 66 | $1K | |
| 90633 | <1% | 696 | $1K | |
| 36416 | <1% | 7,561 | $870.80 | |
| 90723 | <1% | 555 | $796.66 | |
| 81003 | <1% | 883 | $791.18 | |
| 82950 | <1% | 159 | $742.39 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 68 | $640.62 |
| 85651 | <1% | 94 | $561.08 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $552.26 |
| 83690 | <1% | 39 | $474.16 | |
| 82150 | <1% | 38 | $393.41 | |
| 86677 | <1% | 25 | $392.07 | |
| 99201 | <1% | 14 | $387.94 | |
| 90647 | <1% | 443 | $372.40 | |
| 99000 | <1% | 428 | $274.16 | |
| 90681 | <1% | 185 | $237.53 | |
| 90734 | <1% | 144 | $227.81 | |
| 90685 | <1% | 48 | $125.81 | |
| 96161 | <1% | 41 | $112.38 | |
| 90620 | <1% | 22 | $55.25 | |
| 90715 | <1% | 52 | $55.20 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 14 | $44.80 |
| 90651 | <1% | 49 | $36.80 | |
| 90710 | <1% | 29 | $18.40 | |
| G0008 | Administration of influenza virus vaccine | <1% | 45 | $9.84 |
| 99497 | <1% | 13 | $3.29 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 318 | $0.00 |
| 99024 | 0% | 62 | $0.00 | |
| 1170F | 0% | 18 | $0.00 | |
| 0518F | 0% | 18 | $0.00 | |
| 3288F | 0% | 18 | $0.00 | |
| 1124F | 0% | 16 | $0.00 | |
| 99499 | 0% | 12 | $0.00 | |
| 90672 | 0% | 24 | $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 officialHUGHES, ROBERT (MANAGING PARTNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.