Foundations Primary Care LLC

Foundations Primary Care LLC was paid $102K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoFOUNDATIONS PRIMARY CARE LLC
CADIZ, KY 42211

33aNPI1356895932assigned 08/11/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$102K

24GClaims5,945

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#122 of 424

Median peer was paid$19K

This provider vs. median5.4×

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	652	$12K
2019	182	$2K
2020	148	$1K
2021	1,247	$13K
2022	2,058	$36K
2023	1,166	$26K
2024incomplete	492	$12K

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	64%	3,416	2,825	$65K
99454		13%	619	492	$13K
99457		11%	618	491	$11K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	4.2%	129	112	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.5%	124	104	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.6%	41	35	$2K
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	1.4%	50	41	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.3%	17	16	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	50	50	$667.46
99453		<1%	81	80	$500.35
99458		<1%	36	25	$466.48
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	18	14	$139.74

4 more codes

99072	<1%	644	$46.86
1160F	<1%	45	$0.02
1159F	<1%	45	$0.02
1126F	0%	12	$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 officialMCCORMICK, HOLLY (OWNER)