Clinic
Spring View Physician Practices, LLC
Spring View Physician Practices, LLC was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSPRING VIEW PHYSICIAN PRACTICES, LLC
LEBANON, KY 40033
LEBANON, KY 40033
33aNPI1477851467assigned 03/01/2011
33bProvider typeRural Health Clinic/Center
28Total paid$1.39M
24GClaims56,461
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#41 of 265
Median peer was paid$400K
This provider vs. median3.5×
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 BOWMAN, MONICA controls 20+ 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 | 3,371 | $95K | |
| 2019 | 4,606 | $139K | |
| 2020 | 5,484 | $152K | |
| 2021 | 7,745 | $198K | |
| 2022 | 9,737 | $300K | |
| 2023 | 9,128 | $298K | |
| 2024incomplete | 16,390 | $207K |
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 | 45% | 17,904 | 14,485 | $629K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 10% | 1,240 | 1,071 | $145K |
| 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 | 8.6% | 2,424 | 1,939 | $119K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,368 | 1,164 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 844 | 778 | $58K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 4,011 | 3,577 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 1,782 | 1,637 | $54K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.3% | 613 | 261 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,237 | 1,081 | $31K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 369 | 305 | $24K |
| 76830 | Ultrasound, transvaginal | 1.6% | 353 | 322 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 302 | 287 | $21K |
42 more codes
| 87428 | 1.1% | 274 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 783 | $14K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 248 | $12K |
| 90461 | <1% | 182 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 137 | $6K |
| 99460 | <1% | 124 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 75 | $5K |
| 81002 | <1% | 3,796 | $5K | |
| 90670 | <1% | 507 | $4K | |
| 99462 | <1% | 203 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 343 | $4K |
| 87807 | <1% | 315 | $4K | |
| 81025 | <1% | 528 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 52 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 133 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 80 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 276 | $3K |
| 90633 | <1% | 170 | $2K | |
| 90680 | <1% | 232 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $2K |
| 99173 | <1% | 137 | $2K | |
| 81003 | <1% | 3,980 | $1K | |
| 90656 | <1% | 115 | $739.58 | |
| 0031A | <1% | 23 | $675.75 | |
| 90474 | <1% | 71 | $602.09 | |
| 90698 | <1% | 100 | $552.15 | |
| 90655 | <1% | 44 | $462.88 | |
| 90677 | <1% | 13 | $303.09 | |
| 90686 | <1% | 256 | $274.56 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $171.22 |
| 90661 | <1% | 47 | $97.93 | |
| 90685 | <1% | 70 | $39.86 | |
| 3008F | <1% | 3,627 | $0.03 | |
| 3078F | 0% | 2,049 | $0.00 | |
| 3725F | 0% | 406 | $0.00 | |
| 1160F | 0% | 210 | $0.00 | |
| 1036F | 0% | 1,926 | $0.00 | |
| 3074F | 0% | 2,008 | $0.00 | |
| 3075F | 0% | 111 | $0.00 | |
| 3079F | 0% | 191 | $0.00 | |
| 90696 | 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 officialBOWMAN, MONICA (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.