Clinic
Primary Care Centers of Eastern Kentucky, LLC
Primary Care Centers of Eastern Kentucky, LLC was paid $1.81M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
HINDMAN, KY 41822
HINDMAN, KY 41822
33aNPI1356395198assigned 05/19/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.81M
24GClaims83,292
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#32 of 265
Median peer was paid$400K
This provider vs. median4.5×
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 | 10,819 | $230K | |
| 2019 | 11,889 | $270K | |
| 2020 | 6,437 | $143K | |
| 2021 | 11,124 | $243K | |
| 2022 | 13,335 | $333K | |
| 2023 | 13,817 | $323K | |
| 2024incomplete | 15,871 | $273K |
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 | 53% | 31,586 | 27,231 | $952K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 22% | 14,244 | 12,186 | $393K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 15% | 18,565 | 16,667 | $273K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.3% | 5,641 | 5,239 | $133K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 3,032 | 2,875 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 803 | 743 | $15K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 141 | 132 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 562 | 544 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 104 | 98 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | 40 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 59 | 51 | $3K |
| 80305 | <1% | 250 | 97 | $2K |
23 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 818 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 536 | $1K |
| 87807 | <1% | 85 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $766.22 |
| 90686 | <1% | 76 | $596.36 | |
| 92551 | <1% | 52 | $462.34 | |
| 81001 | <1% | 706 | $451.58 | |
| 90688 | <1% | 40 | $387.40 | |
| 74018 | <1% | 23 | $256.08 | |
| 90633 | <1% | 217 | $180.18 | |
| 96127 | <1% | 63 | $160.68 | |
| 81002 | <1% | 565 | $131.94 | |
| J3490 | Unclassified drugs | <1% | 64 | $106.56 |
| S0077 | Injection, clindamycin phosphate, 300 mg | <1% | 15 | $90.00 |
| 90734 | <1% | 31 | $18.40 | |
| 3074F | <1% | 1,802 | $9.02 | |
| 3078F | <1% | 1,438 | $7.40 | |
| 3079F | <1% | 986 | $5.07 | |
| 3075F | <1% | 359 | $1.97 | |
| 3077F | <1% | 218 | $1.39 | |
| 3080F | <1% | 72 | $0.48 | |
| 3008F | 0% | 39 | $0.00 | |
| 0521F | 0% | 40 | $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 officialMARTIN, BARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Primary Care Centers of Eastern Kentucky, LLC | Hazard, KY | $26.30M |
| Beacons of Hope, LLC | Hazard, KY | $6.58M |
| Primary Care Centers of Eastern Kentucky, LLC | Scuddy, KY | $3.64M |
| Primary Care Centers of Eastern Kentucky, LLC | Hyden, KY | $1.52M |
| Homecare Advantage,llc | Terre Haute, IN | $57K |
| Mary E Martin Diabetes Center of Excellence, INC | Hazard, KY | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.