Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Community Health Centers of Western Kentucky INC

Community Health Centers of Western Kentucky INC was paid $6.80M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
GREENVILLE, KY 42345
33aNPI1376088930assigned 01/05/2017
33bProvider typeClinical Social Worker
28Total paid$6.80M
24GClaims240,460
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#9 of 275
Median peer was paid$57K
This provider vs. median118×

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

$0$50K$100K$150K2018201920202021202220232024
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
201839,432$1.04M
201941,084$1.05M
202032,681$892K
202133,920$1.01M
202233,949$993K
202334,093$1.03M
2024incomplete25,301$790K
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 38% 76,968 67,690 $2.59M
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 18% 25,170 22,954 $1.22M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 9.9% 9,981 6,885 $673K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 6,231 6,065 $459K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.6% 5,949 5,697 $379K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.4% 15,882 15,260 $234K
90472 Immunization administration, each additional vaccine (list separately) 2.8% 12,110 10,472 $188K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 9,437 8,746 $120K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.7% 1,529 1,478 $113K
G0467 Community health center visit, returning patientFederally 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 1.2% 11,241 4,061 $84K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 1,974 1,844 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 5,609 5,212 $73K
67 more codes
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.1% 1,158 $72K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.0% 5,432 $70K
87428 <1% 2,087 $51K
90791 Psychiatric diagnostic evaluation <1% 583 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,657 $39K
87807 <1% 3,050 $35K
90832 Psychotherapy session, about 30 minutes <1% 853 $31K
92551 <1% 2,676 $30K
80305 <1% 2,448 $22K
90834 Psychotherapy session, about 45 minutes <1% 354 $17K
90688 <1% 2,932 $15K
96127 <1% 4,921 $14K
90670 <1% 4,882 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 650 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 715 $12K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month <1% 902 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 283 $10K
99203 Doctor's office visit, new patient (routine) <1% 157 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 82 $8K
90473 <1% 491 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 78 $6K
99381 <1% 99 $6K
99173 <1% 1,346 $6K
0011A <1% 182 $5K
99354 <1% 140 $5K
0012A <1% 133 $5K
90723 <1% 3,366 $4K
96160 <1% 2,203 $4K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 814 $3K
99215 Doctor's office visit, returning patient (complex) <1% 31 $2K
99177 <1% 669 $2K
90681 <1% 807 $2K
90647 <1% 2,994 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 931 $2K
90633 <1% 1,997 $2K
90474 <1% 176 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 158 $1K
90687 <1% 910 $1K
94760 <1% 1,150 $1K
90651 <1% 91 $915.68
90677 <1% 345 $856.10
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 236 $808.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 307 $711.33
81002 <1% 562 $577.98
96161 <1% 379 $534.04
J2010 Injection, lincomycin hcl, up to 300 mg <1% 136 $468.28
81025 <1% 81 $451.50
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 12 $444.21
90734 <1% 146 $157.51
90700 <1% 28 $117.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14 $111.62
88720 <1% 13 $59.20
90696 <1% 65 $36.80
90710 <1% 83 $36.80
3078F <1% 36 $0.02
1220F 0% 412 $0.00
90716 0% 30 $0.00
1036F 0% 159 $0.00
3353F 0% 210 $0.00
1034F 0% 131 $0.00
3354F 0% 81 $0.00
3352F 0% 45 $0.00
4000F 0% 120 $0.00
4037F 0% 48 $0.00
3074F 0% 18 $0.00
90715 0% 64 $0.00
90707 0% 30 $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 officialSWAB, JOSEPH (CFO)
Parent organizationCOMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC