Physician
Highlands Hospital Corp
Highlands Hospital Corp was paid $581K by Medicaid between Jan 2018 and Jan 2020, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoHIGHLANDS HOSPITAL CORP
HAROLD, KY 41635
HAROLD, KY 41635
33aNPI1306060975assigned 04/12/2007
33bProvider typeFamily Medicine Physician
28Total paid$581K
24GClaims28,189
24DCodes billed30
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#87 of 352
Median peer was paid$90K
This provider vs. median6.5×
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 | 15,435 | $326K | |
| 2019 | 12,521 | $251K | |
| 2020 | 233 | $4K |
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 | 56% | 10,676 | 9,399 | $324K |
| 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 | 26% | 3,550 | 3,175 | $151K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.5% | 1,394 | 1,201 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 1,082 | 996 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 1,580 | 1,460 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 1,571 | 721 | $19K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 1,415 | 1,327 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 50 | 49 | $3K |
| 90686 | <1% | 102 | 96 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 120 | 106 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 154 | 142 | $930.72 |
| 90633 | <1% | 27 | 23 | $555.89 |
18 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 332 | $512.61 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 32 | $371.97 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 73 | $340.93 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 32 | $286.80 |
| 96127 | <1% | 62 | $88.86 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 17 | $76.12 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $72.39 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $16.87 |
| 81000 | <1% | 12 | $13.10 | |
| 4004F | 0% | 42 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 48 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,770 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 143 | $0.00 |
| 1036F | 0% | 277 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 254 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 252 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 83 | $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 officialWARMAN, HAROLD (PRESIDENT / CEO)
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital Corp | Salyersville, KY | $580K |
| Highlands Heart and Vascular LLC | Prestonsburg, KY | $137K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.