Clinic
Rockcastle County Hospital, INC.
Rockcastle County Hospital, INC. was paid $3.42M by Medicaid between Mar 2018 and Oct 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoROCKCASTLE COUNTY HOSPITAL, INC.
MOUNT VERNON, KY 40456
MOUNT VERNON, KY 40456
33aNPI1396263000assigned 09/01/2017
33bProvider typeRural Health Clinic/Center
28Total paid$3.42M
24GClaims126,596
24DCodes billed16
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#16 of 265
Median peer was paid$400K
This provider vs. median8.5×
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 | 7,567 | $168K | |
| 2019 | 17,317 | $439K | |
| 2020 | 12,118 | $331K | |
| 2021 | 22,479 | $602K | |
| 2022 | 26,105 | $709K | |
| 2023 | 25,049 | $682K | |
| 2024incomplete | 15,961 | $486K |
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 | 29% | 32,304 | 30,496 | $975K |
| 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 | 25% | 18,386 | 17,353 | $861K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 18% | 17,652 | 16,697 | $619K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 20,353 | 16,462 | $414K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 10% | 29,388 | 27,995 | $357K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.0% | 5,030 | 4,779 | $138K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 832 | 775 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 223 | 214 | $10K |
| 87807 | <1% | 750 | 716 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 143 | 141 | $5K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 119 | 114 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 408 | 371 | $4K |
4 more codes
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 officialBASTIN, CHRISTOPHER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Rockcastle County Hospital, INC. | Mount Vernon, KY | $20.27M |
| Rockcastle County Hospital, INC. | Mount Vernon, KY | $208K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.