Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1366790099assigned 08/28/2012
28Total paid$12.41M
24GClaims746,849
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201856,997$806K
201981,015$1.16M
202094,362$1.48M
2021128,657$1.89M
2022122,445$2.16M
2023113,531$2.46M
2024incomplete149,842$2.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)