Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › VANCEBURG › LEWIS COUNTY PRIMARY CARE CENTER, INC.

LEWIS COUNTY PRIMARY CARE CENTER, INC.

NPI: 1457303802 · VANCEBURG, KY 41179 · Federally Qualified Health Center (FQHC) · NPI assigned 05/16/2006

$23.42M
Total Medicaid Paid
2,161,108
Total Claims
1,753,910
Beneficiaries
180
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUGRIN, JERRY (CEO)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140,182 $2.43M
2019 137,945 $2.37M
2020 171,885 $3.00M
2021 507,831 $3.91M
2022 523,064 $4.26M
2023 410,641 $4.50M
2024 269,560 $2.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 335,799 268,395 $9.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,848 68,383 $3.34M
T1015 Clinic visit/encounter, all-inclusive 43,119 32,799 $1.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 37,077 30,852 $812K
90460 Immunization administration through 18 years of age via any route, first or only component 23,206 20,880 $728K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29,922 27,756 $581K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26,052 23,953 $544K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,073 7,013 $472K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,739 6,681 $421K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 52,326 18,233 $382K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,242 5,652 $343K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,093 4,660 $307K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24,637 22,906 $299K
D1110 Prophylaxis - adult 7,766 6,897 $289K
D0150 Comprehensive oral evaluation - new or established patient 12,399 11,072 $276K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23,166 18,574 $273K
90837 Psychotherapy, 53 minutes with patient 4,079 2,925 $232K
D0330 Panoramic radiographic image 5,575 5,104 $221K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,110 2,820 $207K
D1120 Prophylaxis - child 4,607 4,044 $175K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,987 2,247 $136K
D0274 Bitewings - four radiographic images 6,079 5,441 $132K
D0140 Limited oral evaluation - problem focused 4,349 3,852 $124K
90834 Psychotherapy, 45 minutes with patient 3,085 2,191 $101K
59025 Fetal non-stress test 4,115 2,590 $97K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,526 1,123 $86K
90461 3,747 3,199 $78K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,906 1,199 $73K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,386 1,026 $71K
D1208 Topical application of fluoride, excluding varnish 5,397 4,736 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,070 1,657 $68K
99215 Prolong outpt/office vis 1,037 896 $65K
96127 22,893 20,683 $64K
D7140 Extraction, erupted tooth or exposed root 1,201 669 $56K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 770 717 $54K
36415 Collection of venous blood by venipuncture 14,701 11,757 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,322 3,594 $48K
90791 Psychiatric diagnostic evaluation 903 679 $47K
90792 Psychiatric diagnostic evaluation with medical services 602 547 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 976 857 $44K
81025 6,823 6,150 $38K
90688 3,368 3,023 $31K
D0272 Bitewings - two radiographic images 2,041 1,724 $27K
81002 23,386 17,555 $27K
87807 2,471 2,285 $27K
76830 Ultrasound, transvaginal 829 735 $24K
99238 Hospital discharge day management, 30 minutes or less 514 478 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,526 3,184 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 277 234 $20K
99173 9,945 9,093 $20K
99382 271 247 $19K
D0220 Intraoral - periapical first radiographic image 2,833 2,489 $18K
83036 Hemoglobin; glycosylated (A1C) 3,241 3,028 $16K
99218 398 339 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 468 392 $14K
99383 200 187 $14K
80305 1,269 1,227 $13K
D0120 Periodic oral evaluation - established patient 619 531 $12K
90632 358 244 $12K
99460 241 231 $11K
99381 172 157 $11K
71046 Radiologic examination, chest; 2 views 1,006 850 $10K
83037 1,506 1,354 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,429 1,122 $8K
81003 12,195 10,251 $8K
99384 102 92 $7K
82962 3,800 3,432 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 266 246 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 550 481 $6K
G0444 Annual depression screening, 5 to 15 minutes 1,249 389 $6K
99441 227 217 $6K
90832 Psychotherapy, 30 minutes with patient 347 204 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 86 73 $6K
D0230 Intraoral - periapical each additional radiographic image 906 669 $5K
J0561 Injection, penicillin g benzathine, 100,000 units 48 44 $4K
83655 366 351 $4K
90670 5,379 4,649 $3K
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 327 275 $3K
0071A 89 85 $3K
90651 794 722 $3K
90715 561 492 $2K
99177 639 465 $2K
17110 100 87 $2K
0072A 56 56 $2K
82044 528 483 $2K
99385 29 25 $2K
D2331 54 25 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 138 120 $2K
90480 49 48 $2K
90734 1,082 952 $2K
86580 302 274 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 765 473 $1K
0012A 39 38 $1K
93000 79 72 $1K
82570 424 387 $1K
90681 2,308 2,063 $1K
0001A 40 40 $1K
90723 4,454 3,944 $1K
D1206 Topical application of fluoride varnish 49 46 $857.25
90658 86 85 $786.80
D2330 17 13 $739.64
92551 1,570 1,465 $710.02
90686 1,430 1,309 $593.88
90716 571 514 $584.45
92558 94 66 $580.22
99205 Prolong outpt/office vis 19 14 $573.16
90677 889 863 $567.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,303 515 $533.68
98927 17 12 $526.41
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 99 49 $512.58
90633 3,278 2,937 $509.37
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 55 48 $500.85
90647 4,659 4,097 $486.03
0154A 15 12 $440.00
90710 781 677 $433.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 90 75 $430.81
20610 14 13 $415.57
86308 87 84 $383.05
90660 122 121 $374.14
76770 15 13 $361.97
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $303.29
90707 556 498 $286.95
94760 372 321 $280.93
J1885 Injection, ketorolac tromethamine, per 15 mg 125 96 $261.34
87210 70 62 $251.93
85027 55 45 $228.09
99231 Subsequent hospital care, per day, straightforward or low complexity 12 12 $225.63
90672 469 457 $219.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 43 41 $218.10
1125F 25,862 21,435 $202.18
73630 17 12 $147.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 13 $133.40
90696 430 382 $132.01
3079F 69,390 58,498 $117.43
96161 48 39 $112.34
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $91.90
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $78.33
3074F 176,189 146,619 $76.43
99406 1,240 980 $72.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 64 57 $64.95
85018 31 31 $59.47
90700 651 585 $57.48
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 32 29 $12.45
1036F 141,828 115,207 $10.77
3008F 220,271 181,574 $7.52
90656 43 43 $4.51
3078F 143,719 120,476 $0.77
1126F 61,524 49,762 $0.02
3077F 13,063 10,575 $0.02
3725F 44,635 37,982 $0.01
1090F 11,444 9,205 $0.01
3075F 24,741 20,950 $0.00
3080F 5,695 4,736 $0.00
1170F 916 772 $0.00
3044F 235 208 $0.00
4010F 687 549 $0.00
91307 284 256 $0.00
1111F 753 679 $0.00
0501F 18 15 $0.00
91315 15 12 $0.00
3061F 32 26 $0.00
99000 38 36 $0.00
91301 126 124 $0.00
99024 47 42 $0.00
91305 14 12 $0.00
3052F 36 25 $0.00
G0008 Administration of influenza virus vaccine 13 12 $0.00
D1330 23 18 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 320 283 $0.00
1160F 147,257 114,233 $0.00
1159F 114,653 88,552 $0.00
0521F 6,563 5,341 $0.00
3046F 60 52 $0.00
2028F 81 69 $0.00
90685 74 55 $0.00
3051F 168 146 $0.00
91311 13 13 $0.00
3045F 145 123 $0.00
91300 134 117 $0.00
888888 13 12 $0.00