Family Practice Clinic PSC

Family Practice Clinic PSC was paid $863K by Medicaid between Jan 2018 and Oct 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoFAMILY PRACTICE CLINIC PSC
MARION, KY 42064

33aNPI1467454041assigned 08/12/2005

33bProvider typeFamily Nurse Practitioner

28Total paid$863K

24GClaims30,024

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#21 of 424

Median peer was paid$19K

This provider vs. median46×

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	10,660	$299K
2019	8,491	$243K
2020	6,186	$196K
2021	4,687	$125K

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	93%	26,696	20,946	$803K
99308	Subsequent nursing facility care, per day, straightforward	4.2%	1,488	1,068	$36K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	627	576	$9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1.1%	464	378	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	78	74	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	321	285	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	12	$942.96
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	<1%	20	16	$641.72
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	29	25	$464.40
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	288	252	$223.89

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 officialMADDUX, HOWARD (PRESIDENT)