Agency
Knox County Health Department
Knox County Health Department was paid $760K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 31% of everything it billed.
33Billing provider infoKNOX COUNTY HEALTH DEPARTMENT
BARBOURVILLE, KY 40906
BARBOURVILLE, KY 40906
33aNPI1407830706assigned 12/01/2005
33bProvider typeCase Management Agency
28Total paid$760K
24GClaims15,475
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Kentucky
Rank by total paid#66 of 94
Median peer was paid$3.21M
This provider vs. median0.2×
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 | 3,716 | $178K | |
| 2019 | 2,003 | $117K | |
| 2020 | 961 | $52K | |
| 2021 | 1,496 | $54K | |
| 2022 | 2,504 | $104K | |
| 2023 | 3,111 | $149K | |
| 2024incomplete | 1,684 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 31% | 4,962 | 1,669 | $234K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 31% | 4,226 | 1,092 | $234K |
| T4541 | Incontinence product, disposable underpad, large, each | 22% | 3,488 | 2,577 | $164K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 4.8% | 230 | 178 | $36K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 3.0% | 1,575 | 185 | $23K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2.9% | 77 | 63 | $22K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2.3% | 144 | 104 | $18K |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 2.2% | 434 | 100 | $17K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 1.4% | 118 | 88 | $11K |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes | <1% | 14 | 12 | $660.67 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 150 | 64 | $571.27 |
| A4217 | Sterile water/saline, 500 ml | <1% | 57 | 24 | $290.33 |
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 officialRAINS, REBECCA (DIRECTOR)