Clinic
Kentucky River Foothills Development Council, INC.
Kentucky River Foothills Development Council, INC. was paid $379K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoKENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
IRVINE, KY 40336
IRVINE, KY 40336
33aNPI1346874054assigned 03/03/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$379K
24GClaims15,084
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#26 of 37
Median peer was paid$1.29M
This provider vs. median0.3×
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 | 3,109 | $83K | |
| 2019 | 2,669 | $77K | |
| 2020 | 1,494 | $47K | |
| 2021 | 1,843 | $28K | |
| 2022 | 1,927 | $33K | |
| 2023 | 2,383 | $56K | |
| 2024incomplete | 1,659 | $55K |
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 | 44% | 5,231 | 4,644 | $168K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 818 | 530 | $62K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 14% | 769 | 396 | $52K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.2% | 627 | 386 | $31K |
| 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 | 7.9% | 650 | 617 | $30K |
| 36415 | Collection of venous blood by venipuncture | 3.6% | 3,343 | 3,129 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 351 | 344 | $5K |
| 81025 | 1.2% | 850 | 797 | $5K | |
| 90756 | <1% | 180 | 178 | $3K | |
| 99385 | <1% | 27 | 26 | $2K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 280 | 113 | $2K |
| 80305 | <1% | 168 | 163 | $2K |
8 more codes
| 81003 | <1% | 1,566 | $1K | |
| 87428 | <1% | 30 | $922.30 | |
| 90688 | <1% | 66 | $845.60 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 39 | $742.26 |
| 90658 | <1% | 24 | $326.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $162.96 |
| 82044 | <1% | 38 | $134.38 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $100.28 |
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 officialWOOLUM, RUTH (PROJECT DIRECTOR)
Parent organizationKENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.