Physician
Frontier Medical Associates of Prestonsburg INC
Frontier Medical Associates of Prestonsburg INC was paid $1.73M by Medicaid between Sep 2021 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoFRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1447840798assigned 01/21/2021
33bProvider typeInternal Medicine Physician
28Total paid$1.73M
24GClaims67,144
24DCodes billed66
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#20 of 231
Median peer was paid$77K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2021 | 1,051 | $30K | |
| 2022 | 4,568 | $124K | |
| 2023 | 23,752 | $593K | |
| 2024incomplete | 37,773 | $980K |
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 | 53% | 28,294 | 25,295 | $912K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.3% | 1,899 | 1,642 | $144K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 7.0% | 8,551 | 8,137 | $120K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.2% | 6,449 | 3,049 | $90K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 1,782 | 1,761 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 912 | 897 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 791 | 781 | $48K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 1,360 | 1,312 | $46K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.3% | 638 | 602 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 582 | 575 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 448 | 438 | $25K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 438 | 409 | $18K |
54 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 337 | $17K |
| 99173 | <1% | 572 | $16K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 360 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 369 | $14K |
| 99051 | <1% | 5,317 | $11K | |
| 87807 | <1% | 929 | $11K | |
| 92015 | Determination of refractive state | <1% | 2,560 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 72 | $6K |
| 92552 | <1% | 662 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $2K |
| 99490 | Ccm add 20min | <1% | 110 | $2K |
| 99381 | <1% | 25 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 35 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 50 | $1K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 52 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 24 | $1K |
| 96127 | <1% | 448 | $1K | |
| 17110 | <1% | 90 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $677.49 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 72 | $473.36 |
| 92567 | <1% | 32 | $334.61 | |
| 99442 | <1% | 14 | $301.60 | |
| 99050 | <1% | 47 | $300.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $258.79 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $196.52 |
| 82962 | <1% | 71 | $167.30 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $150.64 |
| 81002 | <1% | 407 | $104.43 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 109 | $53.86 |
| 90715 | 0% | 56 | $0.00 | |
| 3078F | 0% | 156 | $0.00 | |
| 90633 | 0% | 129 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 90671 | 0% | 53 | $0.00 | |
| 90710 | 0% | 53 | $0.00 | |
| 90380 | 0% | 13 | $0.00 | |
| 90658 | 0% | 74 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 1159F | 0% | 39 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 32 | $0.00 |
| 1160F | 0% | 39 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90697 | 0% | 280 | $0.00 | |
| 90651 | 0% | 97 | $0.00 | |
| 90619 | 0% | 91 | $0.00 | |
| 3079F | 0% | 75 | $0.00 | |
| 90677 | 0% | 232 | $0.00 | |
| 90686 | 0% | 81 | $0.00 | |
| 90680 | 0% | 206 | $0.00 | |
| 3074F | 0% | 174 | $0.00 | |
| 3075F | 0% | 29 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90381 | 0% | 14 | $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 officialHANA, ANTOIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Frontier Behavioral Health Center PLLC | Salyersville, KY | $24.21M |
| Albaree Health Services LLC | Salyersville, KY | $10.15M |
| Eastern Kentucky Tender Care Pediatrics LLC | Prestonsburg, KY | $5.24M |
| Martin County Rural Health Clinic PLLC | Inez, KY | $4.23M |
| Alpha Health Services PLLC | Prestonsburg, KY | $1.75M |
| Frontier Medical Associates of Paintsville INC | Paintsville, KY | $1.03M |
| Samaritan Family Care LLC | Paintsville, KY | $359K |
| Frontier Vision LLC | Prestonsburg, KY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.