Clinic
Bluegrass Clinic Liberty, PLLC
Bluegrass Clinic Liberty, PLLC was paid $357K by Medicaid between Jan 2018 and Feb 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoBLUEGRASS CLINIC LIBERTY, PLLC
LIBERTY, KY 42539
LIBERTY, KY 42539
33aNPI1457555146assigned 06/14/2007
33bProvider typeRural Health Clinic/Center
28Total paid$357K
24GClaims13,040
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#146 of 265
Median peer was paid$400K
This provider vs. median0.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MILLER, JAMES controls 13+ related entities in our dataset. Read more
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 | 1,584 | $40K | |
| 2019 | 1,768 | $45K | |
| 2020 | 2,572 | $68K | |
| 2021 | 2,648 | $71K | |
| 2022 | 2,611 | $73K | |
| 2023 | 1,760 | $55K | |
| 2024incomplete | 97 | $5K |
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 | 76% | 9,080 | 7,442 | $271K |
| 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 | 13% | 889 | 752 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 407 | 357 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 538 | 318 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 74 | 67 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 1,116 | 1,007 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 143 | 134 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 179 | 169 | $3K |
| 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% | 25 | 23 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 125 | 122 | $1K |
| 99442 | <1% | 38 | 35 | $1K |
10 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 60 | $907.78 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | $648.34 |
| 87428 | <1% | 17 | $579.15 | |
| 90686 | <1% | 73 | $566.82 | |
| 99441 | <1% | 21 | $340.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 42 | $271.75 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $70.34 |
| 81025 | <1% | 12 | $66.35 | |
| 81003 | <1% | 126 | $60.48 |
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 officialMILLER, JAMES (PROVIDER OWNER)
| Provider | Location | Paid |
|---|---|---|
| Putnam County Comprehensive Service | Greencastle, IN | $38.25M |
| Turning Points Recovery Services INC. | Bend, OR | $11.41M |
| Bates Miller & Sims PLLC | Stanford, KY | $3.23M |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $2.87M |
| Bluegrass Clinic Stanford, PLLC | Stanford, KY | $1.17M |
| Turning Points Recovery Services INC. | Prineville, OR | $834K |
| James Robert Miller | Tracy, CA | $718K |
| Dix River Family Medicine & Womens Healthcare Center PSC | Stanford, KY | $132K |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $107K |
| Skyline Womens Health Associates | Madison, TN | $58K |
| Monarch Obstetrics and Gynecology LLC | Wooster, OH | $49K |
| Western Slope Accident Care, LLC | Grand Junction, CO | $18K |
| James R. Miller DDS MS PA | Golden Valley, MN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.