Physician
Family Practice Clinic of Booneville, INC.
Family Practice Clinic of Booneville, INC. was paid $4.99M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 39% of everything it billed.
33Billing provider infoFAMILY PRACTICE CLINIC OF BOONEVILLE, INC.
BOONEVILLE, KY 41314
BOONEVILLE, KY 41314
33aNPI1326152109assigned 08/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.99M
24GClaims204,069
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#12 of 352
Median peer was paid$90K
This provider vs. median56×
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 | 15,601 | $396K | |
| 2019 | 27,302 | $723K | |
| 2020 | 31,527 | $808K | |
| 2021 | 29,825 | $762K | |
| 2022 | 32,226 | $747K | |
| 2023 | 40,118 | $888K | |
| 2024incomplete | 27,470 | $668K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 39% | 48,531 | 32,533 | $1.95M |
| 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% | 63,839 | 35,204 | $1.90M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 14% | 16,522 | 7,543 | $675K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 7,649 | 5,563 | $96K |
| H0038 | Self-help/peer services, per 15 minutes | 1.8% | 8,857 | 3,897 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 3,825 | 2,491 | $84K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,945 | 1,838 | $34K |
| T2023 | Targeted case management; per month | <1% | 78 | 78 | $26K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 984 | 921 | $22K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,468 | 305 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,081 | 961 | $20K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 353 | 320 | $16K |
19 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 284 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 649 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 764 | $8K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 764 | $7K |
| 82570 | <1% | 44,006 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 53 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 25 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 840 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $783.85 |
| 90674 | <1% | 45 | $666.99 | |
| 0011A | <1% | 15 | $421.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 36 | $346.40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 198 | $335.42 |
| 90756 | <1% | 12 | $219.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $82.49 |
| 81003 | <1% | 13 | $2.18 | |
| 91301 | <1% | 16 | $0.07 |
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 officialCOX, KIM (OWNER OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| Mountain Family Practice Clinic of Manchester INC | Manchester, KY | $4.61M |
| Lancaster Family Health Care | Lancaster, KY | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.