Clinic
Big Sandy Health Care INC
Big Sandy Health Care INC was paid $48K by Medicaid between Feb 2024 and Nov 2024, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 52% of everything it billed.
33Billing provider infoBIG SANDY HEALTH CARE INC
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1326729773assigned 07/28/2023
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$48K
24GClaims1,447
24DCodes billed8
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#29 of 37
Median peer was paid$1.29M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 1,447 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 52% | 309 | 236 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 384 | 342 | $13K |
| 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 | 19% | 179 | 176 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 148 | 137 | $802.20 |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.6% | 126 | 121 | $767.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 161 | 143 | $145.00 |
| 81003 | <1% | 96 | 89 | $31.73 | |
| 3044F | <1% | 44 | 43 | $0.19 |
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 officialHERALD, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Big Sandy Health Care INC | Auxier, KY | $4.57M |
| Big Sandy Health Care, INC | Inez, KY | $2.30M |
| Big Sandy Health Care INC | Salyersville, KY | $1.99M |
| Big Sandy Health Care INC | Grethel, KY | $1.74M |
| Big Sandy Health Care INC | Pikeville, KY | $1.73M |
| Big Sandy Health Care INC | Salyersville, KY | $1.01M |
| Big Sandy Health Care INC | Pikeville, KY | $530K |
| Big Sandy Health Care INC | Harold, KY | $416K |
| The Pathology Group PC | Memphis, TN | $380K |
| Big Sandy Health Care INC | Freeburn, KY | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.