Clinic
Pikeville Medical Center, INC. (Pikeville Family Practice Clinic)
Pikeville Medical Center, INC. (Pikeville Family Practice Clinic) was paid $424K by Medicaid between Jan 2018 and Dec 2021, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoPIKEVILLE MEDICAL CENTER, INC. (PIKEVILLE FAMILY PRACTICE CLINIC)
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1437286770assigned 02/27/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$424K
24GClaims20,328
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#24 of 37
Median peer was paid$1.29M
This provider vs. median0.3×
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 | 8,529 | $132K | |
| 2019 | 4,698 | $114K | |
| 2020 | 2,900 | $81K | |
| 2021 | 4,201 | $95K |
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 | 84% | 13,445 | 11,352 | $357K |
| 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 | 15% | 1,728 | 1,501 | $65K |
| 98926 | <1% | 35 | 27 | $756.03 | |
| 98927 | <1% | 15 | 12 | $372.21 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 251 | 241 | $191.15 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 582 | 548 | $147.97 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,647 | 2,227 | $43.05 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 31 | 29 | $0.00 |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 0% | 743 | 684 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 58 | 41 | $0.00 |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 0% | 671 | 646 | $0.00 |
| 93016 | 0% | 12 | 12 | $0.00 |
6 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 19 | $0.00 |
| 93922 | 0% | 12 | $0.00 | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 0% | 16 | $0.00 |
| 93294 | 0% | 12 | $0.00 | |
| 20610 | 0% | 30 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 21 | $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 officialHAGY, MICHELLE (CFO)
Parent organizationPIKEVILLE MEDICAL CENTER INC.
| Provider | Location | Paid |
|---|---|---|
| Pikeville Medical Center INC | Pikeville, KY | $181.38M |
| Pikeville Medical Center INC. | Pikeville, KY | $34.42M |
| Pikeville Medical Center INC. | Pikeville, KY | $1.25M |
| Pikeville Medical Center INC. | Pikeville, KY | $809K |
| Pikeville Medical Center INC | Pikeville, KY | $160K |
| Pikeville Medical Center INC | Pikeville, KY | $155K |
| Pikeville Medical Center, INC. | Pikeville, KY | $62K |
| Pikeville Medical Center, INC. | Grundy, VA | $749.26 |
| Pikeville Medical Center, INC. | Pikeville, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.