Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Lewis County Primary Care Center, INC.

Lewis County Primary Care Center, INC. was paid $23.42M by Medicaid between Jan 2018 and Dec 2024, across 180 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoLEWIS COUNTY PRIMARY CARE CENTER, INC.
VANCEBURG, KY 41179
33aNPI1457303802assigned 05/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$23.42M
24GClaims2,161,108
24DCodes billed180
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Kentucky

Rank by total paid#4 of 37
Median peer was paid$1.29M
This provider vs. median18×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018140,182$2.43M
2019137,945$2.37M
2020171,885$3.00M
2021507,831$3.91M
2022523,064$4.26M
2023410,641$4.50M
2024incomplete269,560$2.95M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 335,799 268,395 $9.94M
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 14% 80,848 68,383 $3.34M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 6.4% 43,119 32,799 $1.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.5% 37,077 30,852 $812K
90460 Immunization administration through 18 years of age via any route, first or only component 3.1% 23,206 20,880 $728K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.5% 29,922 27,756 $581K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.3% 26,052 23,953 $544K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.0% 8,073 7,013 $472K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 7,739 6,681 $421K
G0467 Community health center visit, returning patientFederally 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 1.6% 52,326 18,233 $382K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 6,242 5,652 $343K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.3% 5,093 4,660 $307K
168 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.3% 24,637 $299K
D1110 Prophylaxis - adult 1.2% 7,766 $289K
D0150 Comprehensive oral evaluation - new or established patient 1.2% 12,399 $276K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 23,166 $273K
90837 Psychotherapy session, about an hour <1% 4,079 $232K
D0330 Panoramic radiographic image <1% 5,575 $221K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,110 $207K
D1120 Dental cleaning, child <1% 4,607 $175K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,987 $136K
D0274 Bitewings - four radiographic images <1% 6,079 $132K
D0140 Limited oral evaluation - problem focused <1% 4,349 $124K
90834 Psychotherapy session, about 45 minutes <1% 3,085 $101K
59025 Fetal non-stress test <1% 4,115 $97K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,526 $86K
90461 <1% 3,747 $78K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 1,906 $73K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 1,386 $71K
D1208 Topical application of fluoride, excluding varnish <1% 5,397 $70K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,070 $68K
99215 Doctor's office visit, returning patient (complex) <1% 1,037 $65K
96127 <1% 22,893 $64K
D7140 Extraction, erupted tooth or exposed root <1% 1,201 $56K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 770 $54K
36415 Collection of venous blood by venipuncture <1% 14,701 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,322 $48K
90791 Psychiatric diagnostic evaluation <1% 903 $47K
90792 Psychiatric diagnostic evaluation with medical services <1% 602 $46K
99203 Doctor's office visit, new patient (routine) <1% 976 $44K
81025 <1% 6,823 $38K
90688 <1% 3,368 $31K
D0272 Bitewings - two radiographic images <1% 2,041 $27K
81002 <1% 23,386 $27K
87807 <1% 2,471 $27K
76830 Ultrasound, transvaginal <1% 829 $24K
99238 Hospital discharge day management, 30 minutes or less <1% 514 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,526 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 277 $20K
99173 <1% 9,945 $20K
99382 <1% 271 $19K
D0220 Intraoral - periapical first radiographic image <1% 2,833 $18K
83036 Hemoglobin; glycosylated (A1C) <1% 3,241 $16K
99218 <1% 398 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 468 $14K
99383 <1% 200 $14K
80305 <1% 1,269 $13K
D0120 Dental checkup, returning patient <1% 619 $12K
90632 <1% 358 $12K
99460 <1% 241 $11K
99381 <1% 172 $11K
71046 Radiologic examination, chest; 2 views <1% 1,006 $10K
83037 <1% 1,506 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,429 $8K
81003 <1% 12,195 $8K
99384 <1% 102 $7K
82962 <1% 3,800 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 266 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 550 $6K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,249 $6K
99441 <1% 227 $6K
90832 Psychotherapy session, about 30 minutes <1% 347 $6K
99204 Doctor's office visit, new patient (more involved) <1% 86 $6K
D0230 Intraoral - periapical each additional radiographic image <1% 906 $5K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 48 $4K
83655 <1% 366 $4K
90670 <1% 5,379 $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 <1% 327 $3K
0071A <1% 89 $3K
90651 <1% 794 $3K
90715 <1% 561 $2K
99177 <1% 639 $2K
17110 <1% 100 $2K
0072A <1% 56 $2K
82044 <1% 528 $2K
99385 <1% 29 $2K
D2331 <1% 54 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 138 $2K
90480 <1% 49 $2K
90734 <1% 1,082 $2K
86580 <1% 302 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 765 $1K
0012A <1% 39 $1K
93000 <1% 79 $1K
82570 <1% 424 $1K
90681 <1% 2,308 $1K
0001A <1% 40 $1K
90723 <1% 4,454 $1K
D1206 Topical application of fluoride varnish <1% 49 $857.25
90658 <1% 86 $786.80
D2330 <1% 17 $739.64
92551 <1% 1,570 $710.02
90686 <1% 1,430 $593.88
90716 <1% 571 $584.45
92558 <1% 94 $580.22
99205 Prolong outpt/office vis <1% 19 $573.16
90677 <1% 889 $567.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,303 $533.68
98927 <1% 17 $526.41
G0466 Community health center visit, new patient <1% 99 $512.58
90633 <1% 3,278 $509.37
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 55 $500.85
90647 <1% 4,659 $486.03
0154A <1% 15 $440.00
90710 <1% 781 $433.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 90 $430.81
20610 <1% 14 $415.57
86308 <1% 87 $383.05
90660 <1% 122 $374.14
76770 <1% 15 $361.97
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 12 $303.29
90707 <1% 556 $286.95
94760 <1% 372 $280.93
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 125 $261.34
87210 <1% 70 $251.93
85027 <1% 55 $228.09
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 12 $225.63
90672 <1% 469 $219.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 43 $218.10
1125F <1% 25,862 $202.18
73630 <1% 17 $147.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 18 $133.40
90696 <1% 430 $132.01
3079F <1% 69,390 $117.43
96161 <1% 48 $112.34
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12 $91.90
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $78.33
3074F <1% 176,189 $76.43
99406 <1% 1,240 $72.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 64 $64.95
85018 <1% 31 $59.47
90700 <1% 651 $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) <1% 32 $12.45
1036F <1% 141,828 $10.77
3008F <1% 220,271 $7.52
90656 <1% 43 $4.51
3078F <1% 143,719 $0.77
1126F <1% 61,524 $0.02
3077F <1% 13,063 $0.02
3725F <1% 44,635 $0.01
1090F <1% 11,444 $0.01
3075F 0% 24,741 $0.00
3080F 0% 5,695 $0.00
1170F 0% 916 $0.00
3044F 0% 235 $0.00
4010F 0% 687 $0.00
91307 0% 284 $0.00
1111F 0% 753 $0.00
0501F 0% 18 $0.00
91315 0% 15 $0.00
3061F 0% 32 $0.00
99000 0% 38 $0.00
91301 0% 126 $0.00
99024 0% 47 $0.00
91305 0% 14 $0.00
3052F 0% 36 $0.00
G0008 Administration of influenza virus vaccine 0% 13 $0.00
D1330 0% 23 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 320 $0.00
1160F 0% 147,257 $0.00
1159F 0% 114,653 $0.00
0521F 0% 6,563 $0.00
3046F 0% 60 $0.00
2028F 0% 81 $0.00
90685 0% 74 $0.00
3051F 0% 168 $0.00
91311 0% 13 $0.00
3045F 0% 145 $0.00
91300 0% 134 $0.00
888888 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 officialUGRIN, JERRY (CEO)