Physician
Highlands Hospital Corp
Highlands Hospital Corp was paid $580K by Medicaid between Jan 2018 and Jan 2020, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoHIGHLANDS HOSPITAL CORP
SALYERSVILLE, KY 41465
SALYERSVILLE, KY 41465
33aNPI1447683958assigned 08/20/2013
33bProvider typeFamily Medicine Physician
28Total paid$580K
24GClaims23,848
24DCodes billed37
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#88 of 352
Median peer was paid$90K
This provider vs. median6.5×
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 | 13,839 | $320K | |
| 2019 | 9,734 | $254K | |
| 2020 | 275 | $6K |
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 | 65% | 10,652 | 5,792 | $375K |
| 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 | 17% | 2,229 | 1,964 | $97K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.2% | 709 | 284 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 1,428 | 647 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 697 | 653 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 1,091 | 992 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 429 | 387 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 303 | 296 | $5K |
| 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% | 55 | 54 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 45 | 45 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 200 | 169 | $1K |
| 96127 | <1% | 335 | 301 | $1K |
25 more codes
| 90686 | <1% | 35 | $633.56 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $591.12 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 132 | $168.57 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 412 | $0.45 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,719 | $0.08 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 384 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 394 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 28 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 479 | $0.00 |
| 1036F | 0% | 212 | $0.00 | |
| 3017F | 0% | 34 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 56 | $0.00 |
| 3014F | 0% | 13 | $0.00 | |
| 1006F | 0% | 12 | $0.00 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 31 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 1111F | 0% | 17 | $0.00 | |
| 4004F | 0% | 230 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 267 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 931 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 32 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 77 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 65 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 13 | $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 officialWARMAN, HAROLD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital Corp | Harold, KY | $581K |
| Highlands Heart and Vascular LLC | Prestonsburg, KY | $137K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.