Pennyrile District Health Department

Pennyrile District Health Department was paid $178K by Medicaid between Jan 2018 and May 2019, across 3 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 79% of everything it billed.

33Billing provider infoPENNYRILE DISTRICT HEALTH DEPARTMENT
CADIZ, KY 42211

33aNPI1376792960assigned 09/18/2008

33bProvider typePublic Health or Welfare Agency

28Total paid$178K

24GClaims9,315

24DCodes billed3

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#106 of 318

Median peer was paid$102K

This provider vs. median1.8×

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	6,380	$126K
2019	2,935	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	79%	8,299	3,171	$141K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18%	872	498	$32K
99201		2.9%	144	142	$5K

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 officialTOLLEY, JAMES (PUBLIC HEALTH DIRECTOR)