Clinic
Optima Health, PSC
Optima Health, PSC was paid $254K by Medicaid between Jan 2018 and Apr 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoOPTIMA HEALTH, PSC
CAMPBELLSVILLE, KY 42718
CAMPBELLSVILLE, KY 42718
33aNPI1306127303assigned 09/02/2011
33bProvider typeUrgent Care Clinic/Center
28Total paid$254K
24GClaims7,932
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in Kentucky
Rank by total paid#7 of 13
Median peer was paid$254K
This provider vs. median1.0×
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 | 2,908 | $95K | |
| 2019 | 3,588 | $106K | |
| 2020 | 1,294 | $47K | |
| 2021 | 142 | $6K |
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 | 38% | 2,373 | 1,845 | $95K |
| 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 | 34% | 1,520 | 1,351 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 1,477 | 689 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 182 | 173 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.9% | 656 | 363 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 645 | 602 | $9K |
| 99051 | 3.2% | 934 | 830 | $8K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 41 | 31 | $1K |
| 99422 | <1% | 21 | 21 | $584.82 | |
| 99407 | <1% | 13 | 13 | $251.35 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 70 | 57 | $80.01 |
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 officialHARRIS, CAROLYN (AUTHORIZED AGENT)
| Provider | Location | Paid |
|---|---|---|
| Layter Transportation Company, LLC | Richmond, VA | $122K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.