The James B. Haggin Memorial Hospital INC.
The James B. Haggin Memorial Hospital INC. was paid $257K by Medicaid between Jan 2018 and Nov 2020, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
HARRODSBURG, KY 40330
Next to other Internal Medicine Physician providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,342 | $166K | |
| 2019 | 1,834 | $48K | |
| 2020 | 1,227 | $44K |
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 | 68% | 6,067 | 4,907 | $176K |
| 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 | 9.7% | 583 | 491 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.7% | 854 | 328 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 783 | 673 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 135 | 134 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 327 | 284 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 103 | 94 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 91 | 75 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 246 | 235 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 299 | 257 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $952.83 |
| 95115 | <1% | 90 | 41 | $811.58 |
7 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $795.66 |
| 81003 | <1% | 323 | $748.74 | |
| 92552 | <1% | 59 | $570.36 | |
| 87070 | <1% | 56 | $324.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $254.70 |
| 85018 | <1% | 43 | $176.54 | |
| 36416 | <1% | 302 | $55.92 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.