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

Kentucky River District Health Department

Kentucky River District Health Department was paid $177K by Medicaid between Jan 2018 and Mar 2023, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 68% of everything it billed.

33Billing provider infoKENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
HINDMAN, KY 41822
33aNPI1467650242assigned 07/03/2007
28Total paid$177K
24GClaims3,972
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#108 of 318
Median peer was paid$102K
This provider vs. median1.7×

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 COOPER, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,242$53K
20191,398$66K
2020511$24K
2021361$15K
2022304$12K
2023156$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68% 3,047 2,011 $120K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 842 691 $55K
D1206 Topical application of fluoride varnish <1% 61 61 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 22 22 $349.86

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 officialCOOPER, KAREN (DISTRICT DIRECTOR)
Same official

Other billing entities under COOPER, KAREN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.