Physician
Sterling Health Solutions, INC
Sterling Health Solutions, INC was paid $12.41M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSTERLING HEALTH SOLUTIONS, INC
MOUNT STERLING, KY 40353
MOUNT STERLING, KY 40353
33aNPI1366790099assigned 08/28/2012
33bProvider typeAdolescent Medicine (Internal Medicine) Physician
28Total paid$12.41M
24GClaims746,849
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
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 | 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 | |
| 2024incomplete | 149,842 | $2.45M |
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 | 40% | 153,734 | 127,659 | $4.94M |
| 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 | 11% | 31,247 | 26,990 | $1.37M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 9,553 | 6,749 | $676K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 12,845 | 9,683 | $642K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 31,952 | 19,600 | $552K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 18,984 | 14,542 | $501K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 19,580 | 18,039 | $421K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.5% | 7,725 | 5,735 | $305K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 9,276 | 8,598 | $292K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 17,126 | 15,654 | $228K |
| D0330 | Panoramic radiographic image | 1.7% | 5,147 | 4,618 | $209K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 2,553 | 2,336 | $162K |
123 more codes
| D1110 | Prophylaxis - adult | 1.3% | 3,717 | $162K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 1,850 | $125K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,519 | $115K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,005 | $110K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,776 | $101K |
| 76830 | Ultrasound, transvaginal | <1% | 1,577 | $92K |
| D0274 | Bitewings - four radiographic images | <1% | 3,958 | $86K |
| 80305 | <1% | 8,630 | $86K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,800 | $86K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,181 | $78K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,247 | $69K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,206 | $67K |
| G0467 | Community health center visit, returning patient | <1% | 10,233 | $63K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 662 | $59K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,556 | $58K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,302 | $54K |
| 99406 | <1% | 7,802 | $51K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 467 | $49K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 870 | $48K |
| D0120 | Dental checkup, returning patient | <1% | 2,039 | $46K |
| 90461 | <1% | 2,663 | $42K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 452 | $34K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,500 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 409 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 455 | $26K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 39 | $26K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 375 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,548 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 344 | $21K |
| D1120 | Dental cleaning, child | <1% | 455 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,393 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 313 | $16K |
| 97803 | <1% | 4,223 | $13K | |
| 90785 | <1% | 1,698 | $12K | |
| 95117 | <1% | 945 | $12K | |
| 81003 | <1% | 31,640 | $11K | |
| 59514 | <1% | 13 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 123 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 699 | $9K |
| 99385 | <1% | 138 | $8K | |
| 99201 | <1% | 301 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 166 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 177 | $7K |
| 36416 | <1% | 5,611 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 77 | $6K |
| 81025 | <1% | 956 | $5K | |
| 59025 | Fetal non-stress test | <1% | 261 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,328 | $5K |
| 90686 | <1% | 1,971 | $5K | |
| 87807 | <1% | 458 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 97 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | $4K |
| 90671 | <1% | 374 | $3K | |
| 54150 | <1% | 46 | $3K | |
| 96131 | <1% | 17 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 54 | $2K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 1,223 | $2K |
| 90670 | <1% | 981 | $2K | |
| D9110 | <1% | 52 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 52 | $2K |
| 99441 | <1% | 56 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 53 | $2K |
| 90715 | <1% | 196 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 102 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 88 | $1K |
| 82950 | <1% | 291 | $1K | |
| 76801 | <1% | 18 | $1K | |
| 96130 | <1% | 18 | $873.95 | |
| 90656 | <1% | 473 | $852.15 | |
| 90734 | <1% | 110 | $792.54 | |
| D0272 | Bitewings - two radiographic images | <1% | 41 | $704.83 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $636.53 |
| 90688 | <1% | 819 | $623.96 | |
| 90723 | <1% | 829 | $593.06 | |
| 90680 | <1% | 737 | $560.23 | |
| 90648 | <1% | 826 | $502.20 | |
| 90633 | <1% | 426 | $472.17 | |
| 90863 | <1% | 285 | $382.77 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 51 | $381.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $309.58 |
| 90756 | <1% | 44 | $250.69 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 12 | $216.35 |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $195.75 |
| 90685 | <1% | 123 | $165.63 | |
| 98960 | <1% | 18 | $152.10 | |
| 83655 | <1% | 13 | $136.23 | |
| 90647 | <1% | 331 | $113.88 | |
| 85018 | <1% | 50 | $107.70 | |
| 1000F | <1% | 34,390 | $105.43 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 52 | $63.46 |
| 3008F | <1% | 63,393 | $52.91 | |
| 3074F | <1% | 13,554 | $34.76 | |
| 3078F | <1% | 11,714 | $28.07 | |
| 1036F | <1% | 44,675 | $18.65 | |
| 3079F | <1% | 4,617 | $16.35 | |
| 0502F | <1% | 27,505 | $8.52 | |
| 81002 | <1% | 13 | $7.83 | |
| 3075F | <1% | 1,804 | $6.10 | |
| 4004F | <1% | 1,541 | $5.66 | |
| 4010F | <1% | 173 | $0.66 | |
| 1034F | <1% | 16,414 | $0.44 | |
| 4000F | <1% | 12,175 | $0.43 | |
| 1159F | <1% | 5,730 | $0.42 | |
| 1160F | <1% | 5,724 | $0.41 | |
| 3352F | <1% | 38,382 | $0.27 | |
| 3077F | <1% | 73 | $0.19 | |
| 90674 | <1% | 15 | $0.09 | |
| 3061F | <1% | 28 | $0.08 | |
| 0500F | <1% | 412 | $0.08 | |
| 3046F | <1% | 14 | $0.06 | |
| 1111F | <1% | 48 | $0.05 | |
| 1035F | <1% | 1,893 | $0.04 | |
| 0503F | <1% | 206 | $0.02 | |
| 2028F | 0% | 330 | $0.00 | |
| V2020 | Frames, purchases | 0% | 63 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 4,642 | $0.00 |
| 3011F | 0% | 191 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 17 | $0.00 |
| D0602 | 0% | 1,088 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 61 | $0.00 |
| 90651 | 0% | 29 | $0.00 | |
| D0601 | 0% | 19 | $0.00 | |
| 90381 | 0% | 17 | $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 officialBRYANT, TINA (CEO)