Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › MOUNT STERLING › STERLING HEALTH SOLUTIONS, INC

STERLING HEALTH SOLUTIONS, INC

NPI: 1366790099 · MOUNT STERLING, KY 40353 · Adolescent Medicine (Internal Medicine) Physician · NPI assigned 08/28/2012

$12.41M
Total Medicaid Paid
746,849
Total Claims
609,340
Beneficiaries
135
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRYANT, TINA (CEO)
NPI Enumeration Date08/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,997 $806K
2019 81,015 $1.16M
2020 94,362 $1.48M
2021 128,657 $1.89M
2022 122,445 $2.16M
2023 113,531 $2.46M
2024 149,842 $2.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153,734 127,659 $4.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,247 26,990 $1.37M
90837 Psychotherapy, 53 minutes with patient 9,553 6,749 $676K
90834 Psychotherapy, 45 minutes with patient 12,845 9,683 $642K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31,952 19,600 $552K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,984 14,542 $501K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19,580 18,039 $421K
90832 Psychotherapy, 30 minutes with patient 7,725 5,735 $305K
90460 Immunization administration through 18 years of age via any route, first or only component 9,276 8,598 $292K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17,126 15,654 $228K
D0330 Panoramic radiographic image 5,147 4,618 $209K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,553 2,336 $162K
D1110 Prophylaxis - adult 3,717 3,385 $162K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,850 1,798 $125K
D0150 Comprehensive oral evaluation - new or established patient 4,519 4,100 $115K
D0140 Limited oral evaluation - problem focused 4,005 3,588 $110K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,776 2,854 $101K
76830 Ultrasound, transvaginal 1,577 1,413 $92K
D0274 Bitewings - four radiographic images 3,958 3,596 $86K
80305 8,630 5,689 $86K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,800 1,699 $86K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,181 1,078 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,247 1,153 $69K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,206 935 $67K
G0467 Federally 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 10,233 4,757 $63K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 662 624 $59K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,556 1,431 $58K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,302 941 $54K
99406 7,802 6,241 $51K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 467 426 $49K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 870 750 $48K
D0120 Periodic oral evaluation - established patient 2,039 1,947 $46K
90461 2,663 2,468 $42K
90791 Psychiatric diagnostic evaluation 452 388 $34K
D0220 Intraoral - periapical first radiographic image 3,500 3,172 $30K
90792 Psychiatric diagnostic evaluation with medical services 409 345 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 455 441 $26K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 39 37 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 375 351 $23K
83036 Hemoglobin; glycosylated (A1C) 3,548 3,291 $22K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 344 278 $21K
D1120 Prophylaxis - child 455 444 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,393 1,267 $17K
99238 Hospital discharge day management, 30 minutes or less 313 298 $16K
97803 4,223 3,947 $13K
90785 1,698 1,135 $12K
95117 945 498 $12K
81003 31,640 21,902 $11K
59514 13 12 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 123 101 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 699 638 $9K
99385 138 120 $8K
99201 301 282 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 166 151 $8K
99232 Subsequent hospital care, per day, moderate complexity 177 158 $7K
36416 5,611 5,116 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 77 73 $6K
81025 956 862 $5K
59025 Fetal non-stress test 261 184 $5K
36415 Collection of venous blood by venipuncture 1,328 1,235 $5K
90686 1,971 1,876 $5K
87807 458 421 $5K
99215 Prolong outpt/office vis 97 82 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 47 46 $4K
90671 374 373 $3K
54150 46 43 $3K
96131 17 12 $3K
76819 Fetal biophysical profile; without non-stress testing 54 14 $2K
T1015 Clinic visit/encounter, all-inclusive 1,223 981 $2K
90670 981 964 $2K
D9110 52 46 $2K
D7140 Extraction, erupted tooth or exposed root 52 38 $2K
99441 56 54 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 53 43 $2K
90715 196 178 $1K
90472 Immunization administration, each additional vaccine (list separately) 102 94 $1K
D1208 Topical application of fluoride, excluding varnish 88 82 $1K
82950 291 253 $1K
76801 18 16 $1K
96130 18 13 $873.95
90656 473 472 $852.15
90734 110 107 $792.54
D0272 Bitewings - two radiographic images 41 39 $704.83
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 17 12 $636.53
90688 819 792 $623.96
90723 829 819 $593.06
90680 737 728 $560.23
90648 826 814 $502.20
90633 426 410 $472.17
90863 285 220 $382.77
D0230 Intraoral - periapical each additional radiographic image 51 29 $381.00
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $309.58
90756 44 41 $250.69
99231 Subsequent hospital care, per day, straightforward or low complexity 12 12 $216.35
D1206 Topical application of fluoride varnish 14 14 $195.75
90685 123 118 $165.63
98960 18 12 $152.10
83655 13 13 $136.23
90647 331 327 $113.88
85018 50 49 $107.70
1000F 34,390 28,199 $105.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 52 28 $63.46
3008F 63,393 54,971 $52.91
3074F 13,554 12,080 $34.76
3078F 11,714 10,512 $28.07
1036F 44,675 36,905 $18.65
3079F 4,617 4,144 $16.35
0502F 27,505 18,424 $8.52
81002 13 13 $7.83
3075F 1,804 1,618 $6.10
4004F 1,541 1,323 $5.66
4010F 173 148 $0.66
1034F 16,414 13,333 $0.44
4000F 12,175 9,869 $0.43
1159F 5,730 5,078 $0.42
1160F 5,724 5,074 $0.41
3352F 38,382 30,869 $0.27
3077F 73 66 $0.19
90674 15 14 $0.09
3061F 28 26 $0.08
0500F 412 388 $0.08
3046F 14 12 $0.06
1111F 48 42 $0.05
1035F 1,893 1,512 $0.04
0503F 206 182 $0.02
2028F 330 312 $0.00
V2020 Frames, purchases 63 63 $0.00
S9451 Exercise classes, non-physician provider, per session 4,642 4,308 $0.00
3011F 191 173 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17 14 $0.00
D0602 1,088 1,046 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 61 61 $0.00
90651 29 29 $0.00
D0601 19 15 $0.00
90381 17 17 $0.00